Individual provider · Type 1 NPI

Tracy Guy, CDCA

Substance Abuse Rehabilitation Facility · Warren, OH

NPI number 1124512959 Active

Practice location

2737 Youngstown Rd SE
Warren, OH 44484-5002

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility 324500000X167119 (OH)
Substance Abuse Rehabilitation Facility Primary 324500000X170717 (OH)

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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About NPI 1124512959

Tracy Guy, CDCA's National Provider Identifier is 1124512959, issued on Jun 15, 2018. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Warren, OH. The record was last updated on Jun 17, 2019.