OrganizationActive
Five County Alcohol/Drup Program in
NPI 1093772386 · Non-Pharmacy Dispensing Site · Alvordton, OH
Provider details
- NPI number
- 1093772386
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Kenneth Bond, Executive Director(419) 782-9920
- License
- 0559 (OH)
Specialties & taxonomies
Suppliers
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
109 W Main St
Alvordton, OH 43501-9763
Phone: (419) 924-2029
Fax: (419) 924-2061
Approximate (ZIP-level) locationGet directions
Mailing address
830 S Clinton St
Defiance, OH 43512-2758
Registry dates
- Enumerated
- 2006-04-28
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.