Summit Center For Behavioral Sciences, Llc | |
3200 W Market St Suite 205 Fairlawn OH 44333-3335 | |
(330) 836-6825 | |
(330) 836-6742 |
Full Name | Summit Center For Behavioral Sciences, Llc |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 3200 W Market St, Fairlawn, Ohio |
Authorized Official Name and Position | Maher M Mansour (OWNER) |
Authorized Official Contact | 3308366825 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Summit Center For Behavioral Sciences, Llc 3200 W Market St Suite 205 Fairlawn OH 44333-3335 Ph: (330) 836-6825 | Summit Center For Behavioral Sciences, Llc 3200 W Market St Suite 205 Fairlawn OH 44333-3335 Ph: (330) 836-6825 |
NPI Number | 1750434874 |
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Provider Enumeration Date | 01/19/2007 |
Last Update Date | 04/23/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750434874 | NPI | - | NPPES |
2493930 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 35061917 (Ohio) | Primary |
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