Provider Demographics
NPI:1760130926
Name:RECOVERY CENTER OF HAMILTON COUNTY, INC
Entity Type:Organization
Organization Name:RECOVERY CENTER OF HAMILTON COUNTY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:PEDOTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-532-4895
Mailing Address - Street 1:2340 AUBURN AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45219-2802
Mailing Address - Country:US
Mailing Address - Phone:513-241-1411
Mailing Address - Fax:513-241-1447
Practice Address - Street 1:2340 AUBURN AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-2802
Practice Address - Country:US
Practice Address - Phone:513-241-1411
Practice Address - Fax:513-241-1447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-16
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health