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Search › Ohio › 101YM0800X

Derrick Parks, QMHS

NPI 1235607037 · on the registry since 2018 · sole proprietor

Practice

Address
714 E Main St
Trotwood, OH 45426
Phone
(844) 548-7627
Organisation at this address
Clean Slate Sober Living
Clean Slate Sober Living
Clean Slate Sober Living
Clean Slate Sober Living, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Additional practice sites

  • 12395 Mccracken Rd Ste A, Garfield Heights, OH

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
171M00000X
Sex
Male
Record last updated
2020-02-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio