NPI Code Details Logo

NPI 1124530704

NPI 1124530704 : SOJOURNER RECOVERY SERVICES : HAMILTON, OH

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1124530704
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    SOJOURNER RECOVERY SERVICES 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    11/03/2017
-----------------------------------------------------
    Last Update Date     |    09/02/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1430 UNIVERSITY BLVD 
-----------------------------------------------------
    City                 |    HAMILTON
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    45011-3315
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    513-896-3497
-----------------------------------------------------
    Fax                  |    513-785-4495
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1020 SYMMES RD 
-----------------------------------------------------
    City                 |    FAIRFIELD
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    45014-1844
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    513-896-8300
-----------------------------------------------------
    Fax                  |    513-883-1546
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |     SCOTT  GEHRING 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    513-896-8300
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261QP2300X
-----------------------------------------------------
    Taxonomy Name        |    Primary Care Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.