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NPI Code Detail

MEDICARE: PICKAWAY AREA RECOVERY SERVICES

MEDICARE: PICKAWAY AREA RECOVERY SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1063462109
Entity Type Code : Organization
Provider Name (Legal Business Name) : PICKAWAY AREA RECOVERY SERVICES
Provider Business Mailing Address
First Line : 110 HIGHLAND AVE
Second Line :
City : CIRCLEVILLE
State : OH
Zip : 43113-1208
Country : US
Telephone Number : 740-477-1745
Fax Number : 740-477-2779
Provider Business Practice Location Address
First Line : 110 HIGHLAND AVE
Second Line :
City : CIRCLEVILLE
State : OH
Zip : 43113-1208
Country : US
Telephone Number : 740-477-1745
Fax Number : 740-477-2779
Authorized Official
Title or Position : CFO
Name : AARON SHIPE
Credential :
Telephone Number : 740-477-1745
Provider Enumeration Date : 05/11/2006
Last Update Date : 09/02/2025

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Directions to “PICKAWAY AREA RECOVERY SERVICES ” Practice Location

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