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

Oxyclean Ambulatory Opiate Detox Centers LLC

Organization Addiction Medicine (Family Medicine) Physician · NPI 1033624812

Oxyclean Ambulatory Opiate Detox Centers LLC is an Addiction Medicine (Family Medicine) Physician in Waynesville, Ohio. Works from 5 locations. Licensed in Ohio.

Licensed in
OH
In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

415 S Main St
Waynesville, OH 45068-9553
Phone: (513) 897-7162
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 11134 Luschek Dr, Blue Ash, OH 45241-2434 — (513) 827-9273
  • 1 Elizabeth Pl, Dayton, OH 45417-3445 — (937) 203-2469
  • 2611 Wayne Ave, Dayton, OH 45420-1833 — (937) 256-7801
  • 313 Chillicothe Ave, Hillsboro, OH 45133-7378 — (937) 393-9720

Specialties & licences

Addiction Medicine (Family Medicine) Physician (primary) Taxonomy 207QA0401X · Licence 35050063 (OH)

Record details

NPI number1033624812
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Russell — President · (937) 718-7677
Other names Not Ltd
NPI enumeratedDecember 3, 2017
Last updated in NPPESMarch 17, 2018
Mailing address3195 Dayton Xenia Rd # 900-162, Beavercreek, OH 45434-6390