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1780033993
PORT45 RECOVERY LLC
PORTSMOUTH, OH
NPI
1780033993
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Entity Type
Organization
Authorized Contact
SHARON STALEY
CEO
419-606-3141
Organization Subpart ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-06-08
Last Update Date
2019-10-07
Business Address
PORT45 RECOVERY LLC
1616 GRANT ST
PORTSMOUTH, OH 45662-3663
Phone number: 740-529-7356
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Mailing Address
PORT45 RECOVERY LLC
921 EASTWIND DR STE 101
WESTERVILLE, OH 43081-5302
Phone number: 614-591-4710
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