Individual provider · Type 1 NPI
Thomas Clark, CDCA
Substance Abuse Rehabilitation Facility · Warrren, OH
NPI number
1457891715
Active
Practice location
2737 Youngstown Warren Rd SE
Warrren, OH 44483
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.
4 other providers at this address
- Allison Dezelan, CDCASubstance Abuse Rehabilitation Facility Warren, OH NPI 1497295851
- Ashley Bryner, CDCASubstance Abuse Rehabilitation Facility Warren, OH NPI 1821529504
- Emily Wagner, CDCASocial Worker Warren, OH NPI 1700326162
- Jamie Wetzl, CDCASubstance Abuse Rehabilitation Facility Warren, OH NPI 1649710906
About NPI 1457891715
Thomas Clark, CDCA's National Provider Identifier is 1457891715, issued on Mar 6, 2017. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Warrren, OH. The record was last updated on Mar 6, 2017.