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NPI Code Detail

MEDICARE: ENOUGHCS

MEDICARE: ENOUGHCS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251B00000XCase Management Agency
2101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1487471363
Entity Type Code : Organization
Provider Name (Legal Business Name) : ENOUGHCS
Provider Business Mailing Address
First Line : 131 WERTZ AVE NW
Second Line :
City : CANTON
State : OH
Zip : 44708-4171
Country : US
Telephone Number : 330-256-8847
Fax Number :
Provider Business Practice Location Address
First Line : 131 WERTZ AVE NW
Second Line :
City : CANTON
State : OH
Zip : 44708-4171
Country : US
Telephone Number : 214-234-8470
Fax Number : 214-234-8471
Authorized Official
Title or Position : CPO CHIEF PARTNERSHIP OFFICER
Name : MRS. KELLEY ROSS-HOPKINS
Credential : LCDCIII121033
Telephone Number : 330-256-8847
Provider Enumeration Date : 09/23/2024
Last Update Date : 01/13/2025

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Directions to “ENOUGHCS ” Practice Location

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