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

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

Practice location Address checks out

4930 Enterprise Dr NW
Warren, OH 44481-8706
Phone: (330) 787-0955
Show map & directions

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
Mailing address4930 Enterprise Dr Nw, Warren, OH 44481-8706

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