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1275509143 NPI number — ALCOHOL AND DRUG FREEDOM CENTER OF KNOX COUNTY

NPI Number: 1275509143
Health Care Provider/Practitioner: ALCOHOL AND DRUG FREEDOM CENTER OF KNOX COUNTY

Information about “1275509143” NPI (ALCOHOL AND DRUG FREEDOM CENTER OF KNOX COUNTY) exists in 1275509143 in HTML format HTML  |  1275509143 in plain Text format TXT  |  1275509143 in PDF (Portable Document Format) PDF  |  1275509143 in an XML format XML  formats.

NPI Number : 1275509143 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1275509143",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ALCOHOL AND DRUG FREEDOM CENTER OF KNOX COUNTY",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "106 E GAMBIER ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MOUNT VERNON",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "43050-3510",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "740-397-2660",
    "MailingAddressFaxNumber": "740-392-3613",
    "FirstLinePracticeLocationAddress": "106 E GAMBIER ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MOUNT VERNON",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "43050-3510",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "740-397-2660",
    "PracticeLocationAddressFaxNumber": "740-392-3613",
    "EnumerationDate": "02/28/2006",
    "LastUpdateDate": "01/24/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "KILINC",
    "AuthorizedOfficialFirstName": "AFET",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "EXECUTIVE DIRECTOR",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PH.D., LPCC-S",
    "AuthorizedOfficialTelephoneNumber": "740-397-2660",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": "1311",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251S00000X",
          "TaxonomyName": "Community/Behavioral Health Agency",
          "LicenseNumber": "01-7560",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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