MICAH INGRAM

WARREN, OH
NPI1760158034
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy324500000X Substance Abuse Rehabilitation Facility
(Licence: OH  177947)
Enumeration Date2021-08-18
Last Update Date2021-08-18
Business Address
MICAH INGRAM CDCA
4930 ENTERPRISE DR NW
WARREN, OH 44481-8706
Phone number: 330-787-0955
Mailing Address
MICAH INGRAM CDCA
4930 ENTERPRISE DR NW
WARREN, OH 44481-8706
Phone number: 330-787-0955
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