IndividualActive
Cole Kurtz, CDCA
NPI 1982175899 · Substance Abuse Rehabilitation Facility · Warren, OH
Provider details
- NPI number
- 1982175899
- Entity type
- Individual
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Credential
- CDCA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 168705 (OH)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
4930 Enterprise Dr Nw
Warren, OH 44481-8706
Phone: (330) 787-0955
Approximate (ZIP-level) locationGet directions
Mailing address
4930 Enterprise Dr Nw
Warren, OH 44481-8706
Registry dates
- Enumerated
- 2018-12-17
- Last updated
- 2018-12-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.