Individual provider · Type 1 NPI

Laurissa Summerlin, CDCA

Substance Abuse Rehabilitation Facility · Warren, OH

NPI number 1144865627 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 324500000X171941 (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 1144865627

Laurissa Summerlin, CDCA's National Provider Identifier is 1144865627, issued on Nov 8, 2019. 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 Nov 8, 2019.