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Oxyclean Ambulatory Opiate Detox Centers LLC — NPI 1033624812, Waynesville, OH | NPI Central

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NPI 1033624812

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Oxyclean Ambulatory Opiate Detox Centers LLC

NPI 1033624812 · Addiction Medicine (Family Medicine) Physician · Waynesville, OH

Provider details

NPI number: 1033624812
Entity type: Organization
Primary specialty: Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Charles Russell, President(937) 718-7677
License: 35050063 (OH)

Specialties & taxonomies

Addiction Medicine (Family Medicine) PhysicianPrimary207QA0401XLicense 35050063 (OH)
Allopathic & Osteopathic Physicians

Practice location

415 S Main St

Waynesville, OH 45068-9553

Phone: (513) 897-7162

Approximate (ZIP-level) locationGet directions

More OH providers

Mailing address

3195 Dayton Xenia Rd # 900-162

Beavercreek, OH 45434-6390

Other names (DBA / former)

Doing business as: Not Ltd

Additional practice locations (4)

11134 Luschek Dr
Blue Ash, OH 45241-2434
Phone: (513) 827-9273
2611 Wayne Ave
Dayton, OH 45420-1833
Phone: (937) 256-7801
1 Elizabeth Pl
Dayton, OH 45417-3445
Phone: (937) 203-2469
313 Chillicothe Ave
Hillsboro, OH 45133-7378
Phone: (937) 393-9720

Registry dates

Enumerated: 2017-12-03
Last updated: 2018-03-17

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.