| Child And Adolescent Behavioral Health | |
|
4641 Fulton Dr Nw Canton OH 44718-2384 | |
| (330) 433-6075 | |
| Not Available |
| Full Name | Child And Adolescent Behavioral Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4641 Fulton Dr Nw, Canton, Ohio |
| Authorized Official Name and Position | Chris Warsinksy (DIRECTOR OF OUTPATIENT SERVICES) |
| Authorized Official Contact | 3304336075 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child And Adolescent Behavioral Health 4641 Fulton Dr Nw Canton OH 44718-2384 Ph: (330) 433-6075 | Child And Adolescent Behavioral Health 4641 Fulton Dr Nw Canton OH 44718-2384 Ph: (330) 433-6075 |
| NPI Number | 1477787935 |
|---|---|
| Provider Enumeration Date | 05/12/2009 |
| Last Update Date | 05/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477787935 | NPI | - | NPPES |
| 0290822 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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