Organization · Type 2 NPI

Midwest Detox Center LLC

Substance Abuse Rehabilitation Facility · Maumee, OH

NPI number 1356903058 Active

Practice location

1757 Indian Wood Cir
Maumee, OH 43537-4009

Call (833) 440-8642 Map

Mailing address

10461 Mill Run Cir Ste 810
Owings Mills, MD 21117-5549

Other practice locations

1760 Manley Rd Bldg 1760, Maumee, OH 43537-9400 · (866) 688-6917

Specialties and licenses

Taxonomy	Code	License
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.

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NPI record

NPI: 1356903058
Entity type: Organization (Type 2)
Issued: Jul 2, 2019
Last updated: Jan 12, 2024
Status: Active
Subpart: Yes of Midwest Detox Center LLC

Other names

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Ohio Detox Center, LLC · doing business as
Ohio Detox Center, LLC · doing business as

Authorized official

Allison Heaberlin
Credentialing Specialist
(410) 415-3385

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1356903058

Midwest Detox Center LLC's National Provider Identifier is 1356903058, issued on Jul 2, 2019. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Maumee, OH. The record was last updated on Jan 12, 2024.