Individual provider · Type 1 NPI

Micah Ingram, CDCA

Substance Abuse Rehabilitation Facility · Warren, OH

NPI number 1760158034 Active

Practice location

4930 Enterprise Dr NW
Warren, OH 44481-8706

Call (330) 787-0955 Map

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000X177947 (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 1760158034

Micah Ingram, CDCA's National Provider Identifier is 1760158034, issued on Aug 18, 2021. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Warren, OH. The record was last updated on Aug 18, 2021.