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NPI Code Detail

MEDICARE: DARKE COUNTY RECOVERY SERVICES

MEDICARE: DARKE COUNTY 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
1251S00000XCommunity/Behavioral Health Agency02546OH

General Provider Information

NPI Number : 1841344611
Entity Type Code : Organization
Provider Name (Legal Business Name) : DARKE COUNTY RECOVERY SERVICES
Provider Business Mailing Address
First Line : 600 WALNUT ST
Second Line :
City : GREENVILLE
State : OH
Zip : 45331-1944
Country : US
Telephone Number : 937-548-6842
Fax Number : 937-548-8938
Provider Business Practice Location Address
First Line : 600 WALNUT ST
Second Line :
City : GREENVILLE
State : OH
Zip : 45331-1944
Country : US
Telephone Number : 937-548-6842
Fax Number : 937-548-8938
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MS. CYNTHIA COOK
Credential : LICDC-CS
Telephone Number : 937-548-6842
Provider Enumeration Date : 01/22/2007
Last Update Date : 11/07/2016

Similar Medicare Providers

1720223464 — CYNTHIA K COOK-WION LICDC-CS, LISW-S
Practice Location Address:
600 WALNUT ST , GREENVILLE
GREENVILLE, OH
45331-1944
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Practice Fax: 937-548-8938
1831045871 — KIERAH KORRINE BULLARD
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Practice Fax:
1699922500 — DR. MARCIA K EMANUEL ED.D.
Practice Location Address:
600 WALNUT ST
GREENVILLE, OH
45331-1944
Practice Phone: 937-548-6842
Practice Fax: 937-548-8938
1497990154 — GAIL WHITTINGTON CDCA
Practice Location Address:
600 WALNUT ST
GREENVILLE, OH
45331-1944
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1336384098 — SHIRLEY A RASOR LICDC
Practice Location Address:
600 WALNUT ST
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Practice Fax: 937-548-8938

Directions to “DARKE COUNTY RECOVERY SERVICES ” Practice Location

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