MEDICARE: NEW SEASON OF OHIO, LP

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1861351884
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW SEASON OF OHIO, LP

Provider Business Mailing Address
First Line	:	3954 LINDEN AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45432-3004
Country	:	US
Telephone Number	:	326-212-4950
Fax Number	:	326-212-4993

Provider Business Practice Location Address
First Line	:	3954 LINDEN AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45432-3004
Country	:	US
Telephone Number	:	326-212-4950
Fax Number	:	326-212-4993

Authorized Official
Title or Position	:	VICE PRESIDENT, MANAGED CARE
Name	:	SCOTT CALL
Credential	:
Telephone Number	:	480-826-3929

Provider Enumeration Date	:	01/16/2026
Last Update Date	:	01/16/2026

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