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Identification Numbers and Site Information

UPID Number = 7111
Seq Number = 07111
Provider Name and Address
Recovery Services of Northwest Ohio Inc
   25212 U.S. Route 20
   Fayette, OH 43521-9511
Mailing Address
   Gene Smart Community Center
   511 Perry Street
   Defiance, OH 43512-2758
Provider Type
   Alcohol Drug Residential

Date Opened : 4/13/1999
  Contact Info
  Contact Name : Jean Groves
  Phone : (419)782-9920
  Fax :
  Hot Line :
  Email : jeang@5county.org
  Owner Type : Non-Profit Corporation

  Other Info
  Vendor No. : 1140
  Charter No. : 535678
  Nat. Fac Reg No. : OH114970
  BH Start : 4/13/1999
  BH Stop : 1/1/1900

Other Site Information: [Map] [Certification Info.] [Picture]

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