Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THOMAS CLARK, CDCA
Active Sole ProprietorTHOMAS CLARK, CDCA is a Substance Abuse Rehabilitation Facility healthcare provider located in WARRREN, Ohio. NPI 1457891715 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Rehabilitation Facility · WARRREN, OH
Registration Details
- NPI Number
- 1457891715
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 6, 2017 (9.4778642871386 yrs)
- Last Updated
- Mar 6, 2017
- Sole Proprietor
- Yes
Practice Information
- Address
-
2737 YOUNGSTOWN WARREN RD SEWARRREN, OH, 44483Browse OH providers · Browse ZIP 44483
- Phone
- 3303698022
- Primary Specialty
-
Substance Abuse Rehabilitation Facility
324500000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.