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General NPI Number Information
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NPI Number | 1366912933
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Entity Type | Organization
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Legal Business Name | VALOR RECOVERY CENTER OF YOUNGSTOWN LLC
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Dates
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Enumeration Date | 11/27/2018
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 45 N CANFIELD NILES RD
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City | AUSTINTOWN
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State | OH
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Zip | 44515-2343
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Country | US
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Telephone | 330-330-8777
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Fax | 330-642-8242
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Provider Business Mailing Address
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Address Line | 10461 MILL RUN CIR STE 810
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City | OWINGS MILLS
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State | MD
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Zip | 21117-5549
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Country | US
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Telephone | 410-807-8471
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Fax |
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Authorized Official
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Title or Position | LICENSING & CREDENTIALING
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Name | GINNY LYNN SHAFFER
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Credential | CPCS
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Telephone | 765-225-8298
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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