Provider Demographics
NPI:1205321049
Name:PAX TREATMENT CENTERS LLC
Entity type:Organization
Organization Name:PAX TREATMENT CENTERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:SILVANI
Authorized Official - Suffix:
Authorized Official - Credentials:RN MAED
Authorized Official - Phone:513-607-2099
Mailing Address - Street 1:4302 ROOSEVELT BLVD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45044-6625
Mailing Address - Country:US
Mailing Address - Phone:513-433-1032
Mailing Address - Fax:
Practice Address - Street 1:4302 ROOSEVELT BLVD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:OH
Practice Address - Zip Code:45044-6625
Practice Address - Country:US
Practice Address - Phone:513-433-1032
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-25
Last Update Date:2018-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility