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Mary Prebonick, CDCA

Substance Abuse Rehabilitation Facility in Warren, OH. Individual provider (NPI-1).

NPI number1083201149
StatusActive
Last updated in NPPESDec 23, 2020

Details

NPI
1083201149
Entity type
Individual (NPI-1)
Name
Mary Prebonick
Credential
CDCA
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 23, 2020
Certification date
Dec 23, 2020
Last updated
Dec 23, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
324500000X Substance Abuse Rehabilitation Facility175174OHYes

Practice location

2737 Youngstown Rd Se
Warren, OH 44484-5002

Phone 330-369-8022

Mailing address

2737 Youngstown Rd Se
Warren, OH 44484-5002

Phone 330-369-8022

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Substance Abuse Rehabilitation Facility providers in Warren, OH

All 93 Substance Abuse Rehabilitation Facility providers in Warren · All 2,852 providers in Warren

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