| Mahoning County Community Corrections Association, Inc. | |
|
1771 Market St Youngstown OH 44507-1135 | |
| (330) 744-5143 | |
| (330) 742-8661 |
| Full Name | Mahoning County Community Corrections Association, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1771 Market St, Youngstown, Ohio |
| Authorized Official Name and Position | Angela Neely (CFO) |
| Authorized Official Contact | 3307445143 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mahoning County Community Corrections Association, Inc. 1507 Market St Youngstown OH 44507-1127 Ph: (330) 744-5143 | Mahoning County Community Corrections Association, Inc. 1771 Market St Youngstown OH 44507-1135 Ph: (330) 744-5143 |
| NPI Number | 1104505924 |
|---|---|
| Provider Enumeration Date | 07/18/2023 |
| Last Update Date | 07/18/2023 |
| Certification Date | 07/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104505924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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