Provider Demographics
NPI:1598487225
Name:OASIS HOUSE FOR HEALING AND RESTORATION
Entity Type:Organization
Organization Name:OASIS HOUSE FOR HEALING AND RESTORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:234-233-5249
Mailing Address - Street 1:68 RAVENNA ST UNIT 667
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:OH
Mailing Address - Zip Code:44236-6419
Mailing Address - Country:US
Mailing Address - Phone:234-233-5249
Mailing Address - Fax:
Practice Address - Street 1:4831 DARROW RD
Practice Address - Street 2:
Practice Address - City:STOW
Practice Address - State:OH
Practice Address - Zip Code:44224-1409
Practice Address - Country:US
Practice Address - Phone:234-233-5249
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-19
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No305S00000XManaged Care OrganizationsPoint of Service