| Family Connection Of Wadsworth Iv, Llc | |
|
140 Wadsworth Rd Wadsworth OH 44281-9503 | |
| (330) 461-4093 | |
| (330) 334-2235 |
| Full Name | Family Connection Of Wadsworth Iv, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 140 Wadsworth Rd, Wadsworth, Ohio |
| Authorized Official Name and Position | Robin Waltenberger (MANAGER) |
| Authorized Official Contact | 3304614093 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Connection Of Wadsworth Iv, Llc 140 Wadsworth Rd Wadsworth OH 44281-9503 Ph: (330) 461-4093 | Family Connection Of Wadsworth Iv, Llc 140 Wadsworth Rd Wadsworth OH 44281-9503 Ph: (330) 461-4093 |
| NPI Number | 1942859376 |
|---|---|
| Provider Enumeration Date | 09/09/2019 |
| Last Update Date | 09/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942859376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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