Individual provider · Type 1 NPI

Sophie E. Davis, LCDCII

Substance Abuse Rehabilitation Facility · Youngstown, OH

NPI number 1710423488 Active

Practice location

2151 Rush Blvd
Youngstown, OH 44507-1535

Call (330) 744-1181 Map

Fax (330) 740-2849

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000X991584 (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.

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About NPI 1710423488

Sophie E. Davis, LCDCII's National Provider Identifier is 1710423488, issued on Jan 18, 2017. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Youngstown, OH. The record was last updated on Jan 18, 2017.