Ohio Valley Teen Challenge Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

OHIO VALLEY TEEN CHALLENGE INC

Doing business as

H.O.P.E. Counseling and Addiction Services

Practice address

100 Broadway Ave
Youngstown, OH 44505-2789

Phone

(330) 743-9030

NPI assigned

Jun 14, 2018

Last updated

Jun 14, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carol Clemente Wagner

Title

Chief Executive Officer

Phone

(330) 743-9030

Specialties & licenses 2

Addresses

Other names 1

• H.O.P.E. Counseling and Addiction Services Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528934400000",
    "number": "1790278661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 FLORENCEDALE AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445052719",
            "telephone_number": "330-743-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BROADWAY AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445052789",
            "telephone_number": "330-743-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO VALLEY TEEN CHALLENGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-14",
        "last_updated": "2018-06-14",
        "status": "A",
        "authorized_official_last_name": "CLEMENTE WAGNER",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "330-743-9030"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "H.O.P.E. Counseling and Addiction Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ohio Staffing LLC
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• Cassie Renee Ohl
• Amy Ohwofahworaye, PHARMD.
• Carrie Oklota Fadell, MD
• Angela Okusewsky, SLP
• Lydia Oleksak

• Substance Abuse Rehabilitation Facility in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Substance Abuse Rehabilitation Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.