| Alta Care Group, Inc. | |
|
711 Belmont Ave. Youngstown OH 44502-1039 | |
| (330) 793-2487 | |
| (330) 743-5748 |
| Full Name | Alta Care Group, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 711 Belmont Ave., Youngstown, Ohio |
| Authorized Official Name and Position | Jospeh J Shorokey (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3307932487 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alta Care Group, Inc. 711 Belmont Ave. Youngstown OH 44502-1039 Ph: (330) 793-2487 | Alta Care Group, Inc. 711 Belmont Ave. Youngstown OH 44502-1039 Ph: (330) 793-2487 |
| NPI Number | 1215905385 |
|---|---|
| Provider Enumeration Date | 03/14/2006 |
| Last Update Date | 04/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215905385 | NPI | - | NPPES |
| 2846657 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 0222 (Ohio) | Primary |
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