| Buckeye Behavioral Health Llc | |
|
4888 Armandale Ave Nw Canton OH 44718-2284 | |
| (330) 829-9389 | |
| (330) 829-9372 |
| Full Name | Buckeye Behavioral Health Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4888 Armandale Ave Nw, Canton, Ohio |
| Authorized Official Name and Position | Ranga R Thalluri (PSYCHIATRY) |
| Authorized Official Contact | 3308299389 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Buckeye Behavioral Health Llc Po Box 2779 Alliance OH 44601-0779 Ph: (330) 829-9389 | Buckeye Behavioral Health Llc 4888 Armandale Ave Nw Canton OH 44718-2284 Ph: (330) 829-9389 |
| NPI Number | 1275793028 |
|---|---|
| Provider Enumeration Date | 06/16/2008 |
| Last Update Date | 12/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275793028 | NPI | - | NPPES |
| 0987106 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 35062816 (Ohio) | Primary |
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