| Mansfield Richland Recovery Services | |
|
423 Bowman St Mansfield OH 44903-1201 | |
| (419) 512-5487 | |
| Not Available |
| Full Name | Mansfield Richland Recovery Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 423 Bowman St, Mansfield, Ohio |
| Authorized Official Name and Position | Geron L. Tate (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4145125487 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mansfield Richland Recovery Services 423 Bowman St Mansfield OH 44903-1201 Ph: (419) 512-5487 | Mansfield Richland Recovery Services 423 Bowman St Mansfield OH 44903-1201 Ph: (419) 512-5487 |
| NPI Number | 1619358587 |
|---|---|
| Provider Enumeration Date | 06/16/2015 |
| Last Update Date | 06/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619358587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 965660 (Ohio) | Primary |
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