NPI 1790278661

Ohio Valley Teen Challenge INC

Organisation Substance Abuse Rehabilitation Facility Youngstown, OH

Practice location

Address: 100 Broadway Ave, Youngstown, OH 44505-2789
Phone: (330) 743-9030
Mailing address: 1319 Florencedale Ave, Youngstown, OH 44505-2719

Authorised official

Name: Carol Clemente Wagner
Title: Chief Executive Officer
Phone: (330) 743-9030

Registered specialties (2)

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in Ohio →

Substance Use Disorder Rehabilitation Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QR0405X

Other Clinic/Center providers in Ohio →

Registry record

NPI: 1790278661
Entity type: Organization
NPI issued: 14 Jun 2018
Record last updated: 14 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.