Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MITCHELL HALL, CDCA
Active Sole ProprietorChildren's Substance Abuse Rehabilitation Facility · SHELBY, OH
Registration Details
- NPI Number
- 1568969608
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 6, 2018 (8.043061926197 yrs)
- Last Updated
- Apr 6, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
2775 STATE ROUTE 39SHELBY, OH, 448759466Browse OH providers · Browse ZIP 44875
- Phone
- 4197473322
- Primary Specialty
-
Children's Substance Abuse Rehabilitation Facility
3245S0500X
Other Children's Substance Abuse Rehabilitation Facility Providers in SHELBY, OH
| Name | Credential | NPI |
|---|---|---|
| MR. RYAN NICHOLAS GRAY | BS, CDCA, QMHS | 1447761580 |
| MR. BRADFORD RUSSELL NOLAND | CDCA | 1396241576 |
| DUSTIN JAMES PRIDEMORE | CDCA | 1750887931 |
| GERALD POLK | CDCA | 1831696970 |
| CHRISTOPHER DOUGLASS BRADFORD I | CDCA | 1932606076 |
| JAY JASON SUMMERS | CDCA | 1659878791 |
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.