| Community Action For Capable Youth | |
|
1495 W Longview Ave Ste 104 Mansfield OH 44906-1872 | |
| (419) 774-5683 | |
| (419) 774-6364 |
| Full Name | Community Action For Capable Youth |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1495 W Longview Ave Ste 104, Mansfield, Ohio |
| Authorized Official Name and Position | Karen S Miller (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4197745683 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Action For Capable Youth 1495 W Longview Ave Ste 104 Mansfield OH 44906-1872 Ph: (419) 774-5683 | Community Action For Capable Youth 1495 W Longview Ave Ste 104 Mansfield OH 44906-1872 Ph: (419) 774-5683 |
| NPI Number | 1295888691 |
|---|---|
| Provider Enumeration Date | 01/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295888691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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