| |
155 5th St Ne Barberton OH 44203-3332 | |
(330) 745-1611 | |
(330) 848-7820 |
Full Name | |
---|---|
Speciality | Psychiatric Unit |
Location | 155 5th St Ne, Barberton, Ohio |
Authorized Official Name and Position | Laurie Holtsford (DIRECTOR, BUSINESS OFFICE SUPPORT) |
Authorized Official Contact | 6154657466 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 714139 Columbus OH 43271-4139 Ph: (330) 745-1611 | 155 5th St Ne Barberton OH 44203-3332 Ph: (330) 745-1611 |
NPI Number | 1760409221 |
---|---|
Provider Enumeration Date | 07/17/2006 |
Last Update Date | 11/01/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760409221 | NPI | - | NPPES |
0341848 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
273R00000X | Psychiatric Unit | PPH03-2413 (Ohio) | Primary |