Individual provider · Type 1 NPI

Dalton Kinder, CDCA

Substance Abuse Rehabilitation Facility · Warren, OH

NPI number 1124667514 Active

Practice location

4930 Enterprise Dr NW
Warren, OH 44481-8706

Call (330) 787-0955 Map

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000X172438 (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 1124667514

Dalton Kinder, CDCA's National Provider Identifier is 1124667514, issued on Jan 2, 2020. 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 Jan 2, 2020.