Provider Demographics
NPI:1538408000
Name:ARNITA PITTMAN COMMUNITY RECOVERY CENTER
Entity type:Organization
Organization Name:ARNITA PITTMAN COMMUNITY RECOVERY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ARNITA
Authorized Official - Middle Name:DENIECE
Authorized Official - Last Name:PITTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LICDC
Authorized Official - Phone:740-386-2000
Mailing Address - Street 1:1461 MARION WALDO RD
Mailing Address - Street 2:UNIT # 240
Mailing Address - City:MARION
Mailing Address - State:OH
Mailing Address - Zip Code:43302-7421
Mailing Address - Country:US
Mailing Address - Phone:740-386-2000
Mailing Address - Fax:
Practice Address - Street 1:1461 MARION WALDO RD
Practice Address - Street 2:UNIT # 240
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-7421
Practice Address - Country:US
Practice Address - Phone:740-386-2000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-04
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty