JENNIFER GLISTA CDCA
NPI 1275319022
Substance Abuse Rehabilitation Facility in Warren, OH

Active since September 07, 2023
4930 ENTERPRISE DR NW, WARREN, OH 44481(330) 787-0955 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jennifer Glista Cdca NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER GLISTA CDCA (NPI 1275319022) is an individual substance abuse rehabilitation facility provider in Warren, Ohio, licensed in Ohio (185660) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1275319022
Entity TypeIndividualFemale
Primary Taxonomy324500000X
Provider Legal NameJENNIFER GLISTACredential: CDCA
Location Address4930 ENTERPRISE DR NWWarren, OH 44481-8706
Mailing Address4930 Enterprise Dr NwWarren, OH 44481-8706 · (330) 787-0955
Sole ProprietorYes
Enumeration DateSeptember 7, 2023
NPPES CertifiedSeptember 7, 2023
NPI 1275319022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License Licensed in OH · 185660
Definition

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.

4930 ENTERPRISE DR NW, Warren, OH 44481

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Licensed Practical Nurse
4930 ENTERPRISE DR NW
WARREN, OH 44481
Substance Abuse Rehabilitation Facility
4930 ENTERPRISE DR NW
WARREN, OH 44481
Substance Abuse Rehabilitation Facility
4930 ENTERPRISE DR NW
WARREN, OH 44481
Social Worker
4930 ENTERPRISE DR NW
WARREN, OH 44481
Licensed Practical Nurse
4930 ENTERPRISE DR NW
WARREN, OH 44481
Substance Abuse Rehabilitation Facility
4930 ENTERPRISE DR NW
WARREN, OH 44481
Counselor (Addiction (Substance Use Disorder))
4930 ENTERPRISE DR NW
WARREN, OH 44481
Counselor (Addiction (Substance Use Disorder))
4930 ENTERPRISE DR NW
WARREN, OH 44481

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Glista's NPI number?

The NPI number for Jennifer Glista is 1275319022. It was assigned to this individual provider in the NPPES registry on September 7, 2023.

Where is Jennifer Glista located?

Jennifer Glista practices at 4930 Enterprise Dr NW, Warren, OH 44481. The listed phone number is (330) 787-0955.

What is Jennifer Glista's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Jennifer Glista was last updated on September 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.