Cole Kurtz, CDCA
Substance Abuse Rehabilitation Facility in Warren, OH. Individual provider (NPI-1).
NPI number1982175899
StatusActive
Last updated in NPPESDec 17, 2018
Details
- NPI
- 1982175899
- Entity type
- Individual (NPI-1)
- Name
- Cole Kurtz
- Credential
- CDCA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 17, 2018
- Last updated
- Dec 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | 168705 | OH | Yes |
Practice location
4930 Enterprise Dr NwWarren, OH 44481-8706
Phone 330-787-0955
Mailing address
4930 Enterprise Dr NwWarren, OH 44481-8706
Phone 330-787-0955
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All 93 Substance Abuse Rehabilitation Facility providers in Warren · All 2,852 providers in Warren
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