Provider Demographics
NPI:1982235636
Name:NARCOTIC ADDICTION RECOVERY CENTER LLC
Entity Type:Organization
Organization Name:NARCOTIC ADDICTION RECOVERY CENTER LLC
Other - Org Name:HEALTHCARE 12
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GEARLINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MONHOLLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-525-1459
Mailing Address - Street 1:2181 VICTORY PARKWAY
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45206-2906
Mailing Address - Country:US
Mailing Address - Phone:513-241-2123
Mailing Address - Fax:513-221-0810
Practice Address - Street 1:2181 VICTORY PKWY 2ND FLOOR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45206-2901
Practice Address - Country:US
Practice Address - Phone:513-241-2123
Practice Address - Fax:513-241-0417
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-31
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty