Individual provider · Type 1 NPI

Bradford Russell Noland, CDCA

Children's Substance Abuse Rehabilitation Facility · Shelby, OH

NPI number 1396241576 Active

Practice location

2775 State Route 39
Shelby, OH 44875-9466

Call (419) 747-3322 Map

Specialties and licenses

TaxonomyCodeLicense
Children's Substance Abuse Rehabilitation Facility Primary 3245S0500XNone listed

Children's 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 children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

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About NPI 1396241576

Bradford Russell Noland, CDCA's National Provider Identifier is 1396241576, issued on Apr 5, 2018. The primary taxonomy on file is Children's Substance Abuse Rehabilitation Facility (3245S0500X), and the practice location is in Shelby, OH. The record was last updated on Apr 5, 2018.