Healthcare Provider Details

I. General information

NPI: 1972220887
Provider Name (Legal Business Name): AKRON HOUSE RECOVERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2022
Last Update Date: 09/12/2024
Certification Date: 09/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

323 S MAIN ST
AKRON OH
44308-1203
US

IV. Provider business mailing address

323 S MAIN ST
AKRON OH
44308-1203
US

V. Phone/Fax

Practice location:
  • Phone: 888-202-4232
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RACHEL RABINS
Title or Position: EXECUTIVE
Credential:
Phone: 786-510-2623