Individual provider · Type 1 NPI
Tierra Dawn Hodge, CDCA 1
Substance Abuse Rehabilitation Facility · Middletown, OH
NPI number
1568045144
Active
Practice location
1221 1st Ave
Middletown, OH 45044-4194
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | 176409 (OH) |
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.
Other substance abuse rehabilitation facility providers in Middletown
About NPI 1568045144
Tierra Dawn Hodge, CDCA 1's National Provider Identifier is 1568045144, issued on May 3, 2021. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Middletown, OH. The record was last updated on May 3, 2021.