Healthcare Provider Details

I. General information

NPI: 1366912933
Provider Name (Legal Business Name): VALOR RECOVERY CENTER OF YOUNGSTOWN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/27/2018
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 N CANFIELD NILES RD
AUSTINTOWN OH
44515-2343
US

IV. Provider business mailing address

10461 MILL RUN CIR STE 810
OWINGS MILLS MD
21117-5549
US

V. Phone/Fax

Practice location:
  • Phone: 330-330-8777
  • Fax: 330-642-8242
Mailing address:
  • Phone: 410-807-8471
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: GINNY LYNN SHAFFER
Title or Position: LICENSING & CREDENTIALING
Credential: CPCS
Phone: 765-225-8298