ARIEL FETCHKO CDCA
NPI 1043970635
Substance Abuse Rehabilitation Facility in Warren, OH
- Individual
- Female
- Substance Abuse Rehabilitation Facility
About ARIEL FETCHKO
This page provides the complete NPI Profile along with additional information for Ariel Fetchko, a provider established in Warren, Ohio with a medical specialization in Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1043970635 assigned on December 2021. The practitioner's primary taxonomy code is 324500000X with license number 179319 (OH). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1043970635 Verify this NPI
- Provider Name
- ARIEL FETCHKO CDCA
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2737 YOUNGSTOWN RD SE WARREN, OH 44484
- Location Phone
- (330) 369-8022
- Mailing Address
- 2737 YOUNGSTOWN RD SE WARREN, OH 44484
- Mailing Phone
- (330) 369-8022
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 12-22-2021
- Last Update Date
- 12-22-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Substance Abuse Rehabilitation Facility
- Taxonomy Code
- 324500000X
- Type
- Residential Treatment Facilities
- License No.
- 179319
- License State
- OH
- Taxonomy Description
- A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
WARREN, OH 44484
WARREN, OH 44484
WARREN, OH 44484
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043970635, enumerated as an "individual" on December 22, 2021.
The provider is located at 2737 YOUNGSTOWN RD SE WARREN, OH 44484 and the phone number is (330) 369-8022.
Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
