| Volunteers Of America Ohio & Indiana | |
|
280 N Main St Mansfield OH 44902-7317 | |
| (419) 525-4589 | |
| Not Available |
| Full Name | Volunteers Of America Ohio & Indiana |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 280 N Main St, Mansfield, Ohio |
| Authorized Official Name and Position | Rochelle F Moore (COMPLIANCE & QUALITY IMPROVEMENT) |
| Authorized Official Contact | 3172968730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Volunteers Of America Ohio & Indiana 1776 E Broad St Columbus OH 43203-1787 Ph: (614) 253-6100 | Volunteers Of America Ohio & Indiana 280 N Main St Mansfield OH 44902-7317 Ph: (419) 525-4589 |
| NPI Number | 1689294779 |
|---|---|
| Provider Enumeration Date | 04/20/2020 |
| Last Update Date | 04/22/2020 |
| Certification Date | 04/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689294779 | NPI | - | NPPES |
| 1417282754 | Medicaid | OH | |
| 1417282757 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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