Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Philip Lydick, CDCA

Individual provider Substance Abuse Rehabilitation Facility · NPI 1750887246

Philip Lydick, CDCA is a Substance Abuse Rehabilitation Facility in Warren, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2018
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Practice location Address checks out

4930 Enterprise Dr NW
Warren, OH 44481-8706
Phone: (330) 787-0955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X · Licence 166480 (OH)

Record details

NPI number1750887246
Entity typeIndividual (Type 1)
GenderMale
Credentials CDCA
Sole proprietorYes
NPI enumeratedApril 3, 2018
Last updated in NPPESApril 3, 2018

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