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NPI 1902648637 · Substance Use Disorder Rehabilitation Clinic/Center · Dayton, OH
Provider details
- NPI number
- 1902648637
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Earl White, Business Manager(937) 248-1682
Specialties & taxonomies
Ambulatory Health Care Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
Ambulatory Health Care Facilities
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
519 Xenia Ave
Dayton, OH 45410-1823
Phone: (937) 248-1682
Street-level locationGet directions
Mailing address
5730 Heather Hollow Dr
Dayton, OH 45415-2607
Registry dates
- Enumerated
- 2024-06-12
- Last updated
- 2025-05-07
- Certified
- 2025-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.