New Destiny Treatment Center Mental Health And Special Services Llc

LBN: New Destiny Treatment Center Mental Health And Special Services Llc
New Destiny Treatment Center Mental Health And Special Services Llc is an health care organization with primary practice located at 6694 Taylor Rd , Clinton OH 44216-9201. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. New Destiny Treatment Center Mental Health And Special Services Llc can be contacted via phone (330) 825-5202, or through Bolois, Robert W. via phone (330) 825-5202.

Contact Information

Primary practice address
6694 Taylor Rd Clinton OH 44216-9201
Fax: (330) 825-5113
Website:
Authorized official contact:
Name: Bolois, Robert W. PH.D.

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1255047494
LBN Legal business name New Destiny Treatment Center Mental Health And Special Services Llc
DBA Doing business as
Authorized official Bolois, Robert W. PH.D.
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 30th, 2023
Last updated Jan 30th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255047494 NPPES
Ohio MEDICAID 0425321

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