Provider Demographics
NPI:1952970394
Name:THE REDEMPTION CENTER FOR DRUG AND ALCOHOL COUNSELING LLC
Entity Type:Organization
Organization Name:THE REDEMPTION CENTER FOR DRUG AND ALCOHOL COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-990-4346
Mailing Address - Street 1:5350 TRANSPORTATION BLVD STE 22
Mailing Address - Street 2:
Mailing Address - City:GARFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44125-5307
Mailing Address - Country:US
Mailing Address - Phone:330-990-4346
Mailing Address - Fax:
Practice Address - Street 1:5350 TRANSPORTATION BLVD STE 22
Practice Address - Street 2:
Practice Address - City:GARFIELD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44125-5307
Practice Address - Country:US
Practice Address - Phone:330-990-4346
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-21
Last Update Date:2021-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty