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NPI Code Detail

MEDICARE: Y NOT FAMILIES

MEDICARE: Y NOT FAMILIES
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
1324500000XSubstance Abuse Rehabilitation Facility

General Provider Information

NPI Number : 1306538152
Entity Type Code : Organization
Provider Name (Legal Business Name) : Y NOT FAMILIES
Provider Business Mailing Address
First Line : 4680 LIBERTY AVE
Second Line :
City : VERMILION
State : OH
Zip : 44089-3243
Country : US
Telephone Number : 301-461-8357
Fax Number :
Provider Business Practice Location Address
First Line : 4680 LIBERTY AVE
Second Line :
City : VERMILION
State : OH
Zip : 44089-3243
Country : US
Telephone Number : 301-461-8357
Fax Number :
Authorized Official
Title or Position : CEO
Name : BRANDON MCNEIL
Credential :
Telephone Number : 301-461-8357
Provider Enumeration Date : 05/22/2023
Last Update Date : 05/22/2023

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Directions to “Y NOT FAMILIES ” Practice Location

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