Most Relevant Information
Provider Data
| NPI Number: | 1003380072 |
| Provider Name: | CHARITEY RIGGS CDCA |
| Entity Type: | Individual |
| Taxonomy Code: | 324500000X |
| Specialty: | Substance Abuse Rehabilitation Facility |
| License Number: | 168623 |
Most Important Dates
| Enumeration Date: | 01/14/2019 |
| Last Updated: | 01/14/2019 |
Provider Practice Location
4930 ENTERPRISE DR NW
WARREN
OH
444818706
Practice Location Phone/Fax
| Phone: | 3307870955 |
| Fax: |
Provider Mailing Location
4930 ENTERPRISE DR NW
WARREN
OH
444818706
Provider Mailing Phone/Fax
| Phone: | 3307870955 |
| Fax: |