TIMITHY DEMICH CDCA
NPI 1396231544
Substance Abuse Rehabilitation Facility in Warren, OH
- Individual
- Male
- Substance Abuse Rehabilitation Facility
About TIMITHY DEMICH
This page provides the complete NPI Profile along with additional information for Timithy Demich, 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 1396231544 assigned on July 2018. The practitioner's primary taxonomy code is 324500000X with license number 167731 (OH). The provider is registered as an individual and his NPI record was last updated 8 years ago.
- NPI
- 1396231544 Verify this NPI
- Provider Name
- TIMITHY DEMICH CDCA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4930 ENTERPRISE DR NW WARREN, OH 44481
- Location Phone
- (330) 787-0955
- Mailing Address
- 4930 ENTERPRISE DR NW WARREN, OH 44481
- Mailing Phone
- (330) 787-0955
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-10-2018
- Last Update Date
- 07-10-2018
- 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.
- 167731
- 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 19 providers are registered at the same or a nearby location.
WARREN, OH 44481
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396231544, enumerated as an "individual" on July 10, 2018.
The provider is located at 4930 ENTERPRISE DR NW WARREN, OH 44481 and the phone number is (330) 787-0955.
Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
