Organization · Type 2 NPI

Five County Alcohol/drup Program In

Non-Pharmacy Dispensing Site · Alvordton, OH

NPI number 1093772386 Active

Practice location

109 W Main St
Alvordton, OH 43501-9763

Fax (419) 924-2061

Mailing address

830 S Clinton St
Defiance, OH 43512-2758

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X0559 (OH)
Adult Mental Health Clinic/Center 261QM0850X0559 (OH)
Non-Pharmacy Dispensing Site Primary 332900000X0559 (OH)

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

7 other providers at this address

About NPI 1093772386

Five County Alcohol/drup Program In's National Provider Identifier is 1093772386, issued on Apr 28, 2006. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Alvordton, OH. The record was last updated on Sep 11, 2025.