Healthcare Provider Details
I. General information
NPI: 1063346344
Provider Name (Legal Business Name): CINCINNATI RECOVERY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
468 DAYTON ST
CINCINNATI OH
45214-2346
US
IV. Provider business mailing address
311 ELM ST STE 270-1157
CINCINNATI OH
45202-2736
US
V. Phone/Fax
- Phone: 513-299-2826
- Fax:
- Phone: 513-299-2826
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 324500000X |
| Taxonomy | Substance Abuse Rehabilitation Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHRISTOPHER
POHLMAN
Title or Position: ADMINISTRATOR
Credential:
Phone: 513-633-7667