Organization · Type 2 NPI
Southern Ohio Premier Recovery, LLC
Substance Abuse Rehabilitation Facility · Mcdermott, OH
NPI number
1235803115
Active
Practice location
6431 State Route 104
Mcdermott, OH 45652-8943
Mailing address
6587 State Route 104
Mc Dermott, OH 45652-8943
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | None listed |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | None listed |
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
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.
5 other providers at this address
- Southern Ohio Premier Recovery, LLCSubstance Use Disorder Rehabilitation Clinic/Center Mcdermott, OH NPI 1427720275
- Thi of Ohio at Woodland LLCSkilled Nursing Facility Mcdermott, OH NPI 1417986662
- Corey DyerCase Manager/Care Coordinator Mc Dermott, OH NPI 1801761713
- Goble Oneal HammondsCase Manager/Care Coordinator Mc Dermott, OH NPI 1992480883
- Matthew Chappelear, CMSCase Manager/Care Coordinator Mc Dermott, OH NPI 1477251049
About NPI 1235803115
Southern Ohio Premier Recovery, LLC's National Provider Identifier is 1235803115, issued on Aug 4, 2021. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Mcdermott, OH. The record was last updated on Mar 5, 2024.