Healthcare Provider Details

I. General information

NPI: 1437933074
Provider Name (Legal Business Name): JUST FOR TODAY RECOVERY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2023
Last Update Date: 08/23/2023
Certification Date: 08/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1724 S 3RD ST
IRONTON OH
45638-2269
US

IV. Provider business mailing address

1724 S 3RD ST
IRONTON OH
45638-2269
US

V. Phone/Fax

Practice location:
  • Phone: 304-417-4929
  • Fax:
Mailing address:
  • Phone: 304-417-4929
  • 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 Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID A. NELSON
Title or Position: OWNER/ EXECUTIVE DIRECTOR
Credential: DHA, MSW, MA
Phone: 304-417-4929