Healthcare Provider Details

I. General information

NPI: 1598530701
Provider Name (Legal Business Name): VALOR RECOVERY CENTER OF YOUNGSTOWN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2023
Last Update Date: 07/17/2024
Certification Date: 07/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7820 REDSKY DR
CINCINNATI OH
45249-1632
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 330-236-8560
  • Fax: 330-642-8242
Mailing address:
  • Phone: 410-415-3385
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: KIM BROWN
Title or Position: DIRECTOR OF COMPLIANCE
Credential:
Phone: 870-243-7219