Healthcare Provider Details

I. General information

NPI: 1568687473
Provider Name (Legal Business Name): COPE TREATMENT CENTERS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4171 W MIDDLETOWN RD
CANFIELD OH
44406-9493
US

IV. Provider business mailing address

4171 W MIDDLETOWN RD
CANFIELD OH
44406-9493
US

V. Phone/Fax

Practice location:
  • Phone: 800-292-3008
  • Fax: 330-629-9181
Mailing address:
  • Phone: 800-292-3008
  • Fax: 330-629-9181

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0015X
TaxonomyPsychosomatic Medicine Physician
License Number35051195
License Number StateOH

VIII. Authorized Official

Name: WILLIAM PRICE
Title or Position: OWNER
Credential: MD
Phone: 800-292-3008