Provider Demographics
NPI:1497407472
Name:DRESS, RIGHT, DRESS INC.
Entity Type:Organization
Organization Name:DRESS, RIGHT, DRESS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-642-6204
Mailing Address - Street 1:89 N MAIN ST
Mailing Address - Street 2:PO BOX 229
Mailing Address - City:KINGSTON
Mailing Address - State:OH
Mailing Address - Zip Code:45644
Mailing Address - Country:US
Mailing Address - Phone:740-642-6204
Mailing Address - Fax:
Practice Address - Street 1:89 N MAIN ST
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:OH
Practice Address - Zip Code:45644-9737
Practice Address - Country:US
Practice Address - Phone:740-642-6204
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-21
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH01-8665OtherOHIO MENTAL HEALTH AND ADDICTION SERVICES