York Avenue Church Of God Treatment Center

NPI 1407820343 - Case Management - 251B00000X

NPI Details
NPI 1407820343
Enumeration Date 02/16/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JOHNNY JOHNNY
Position EXECUTIVE DIRECTOR
Phone (330) 392-4199
Fax (330) 392-4904
Practice Location
1228 W MARKET ST
WARREN OH, 44485-2780, US
Phone (330) 392-4199
Fax (330) 392-4904
Business Location
1228 W MARKET ST
WARREN OH, 44485-2780, US
Phone (330) 392-4199
Fax (330) 392-4904
Toxanomy
Taxonomy Code 251B00000X
License State Ohio
License Number 6949
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According to our database, York Avenue Church Of God Treatment Center NPI is 1407820343, taxonomy code is 251B00000X and license number is 6949, license state is located at Ohio. York Avenue Church Of God Treatment Center physically located at 1228 W Market St, Warren OH, 44485-2780. NPI Number 1033115704 has the healthcare provider type.

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1407820343 NPI number is provided on an as is basis without warranty of any kind. 1407820343 is maintained by the National Plan & Provider Enumeration System. The contents of York Avenue Church Of God Treatment Center are for informational purposes only.