Organization · Type 2 NPI

Third Street Community Clinic, Inc

Substance Abuse Rehabilitation Facility · Marion, OH

NPI number 1265209902 Active

Practice location

320 Executive Dr
Marion, OH 43302-6310

Mailing address

1404 Park Ave W, Ste 2
Mansfield, OH 44906-2719

Specialties and licenses

TaxonomyCodeLicense
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405XNone listed
Substance Abuse Rehabilitation Facility Primary 324500000XNone 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.

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About NPI 1265209902

Third Street Community Clinic, Inc's National Provider Identifier is 1265209902, issued on Dec 4, 2023. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Marion, OH. The record was last updated on May 19, 2026.