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

Nicholas Wade, CDCA

Individual provider Substance Abuse Rehabilitation Facility · NPI 1588104012

Nicholas Wade, CDCA is a Substance Abuse Rehabilitation Facility in Austintown, Ohio. Practices as a sole proprietor and works from 2 locations. Licensed in Ohio.

Licensed in
OH
In the registry since
2017
Specialties on file
2

Practice location Address checks out

5760 Patriot Blvd
Austintown, OH 44515-1170
Phone: (330) 953-0243
Show map & directions

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

Additional practice locations (1)

  • 2737 Youngstown Rd Se, Warren, OH 44484-5002 — (330) 369-8022

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 0001998 (OH)
Substance Abuse Rehabilitation Facility Taxonomy 324500000X (OH)

Record details

NPI number1588104012
Entity typeIndividual (Type 1)
GenderMale
Credentials CDCA
Sole proprietorYes
NPI enumeratedMarch 2, 2017
Last updated in NPPESSeptember 21, 2020
Certification dateSeptember 21, 2020
Mailing address5760 Patriot Blvd, Austintown, OH 44515-1170

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