York Avenue Church Of God Treatment Center

LBN: York Avenue Church Of God Treatment Center
York Avenue Church Of God Treatment Center is an health care organization with primary practice located at 1228 W Market St , Warren OH 44485-2780. The organization recently has only one registered license in Agencies / Case Management, which is considered as the primary health care specialty. York Avenue Church Of God Treatment Center can be contacted via phone (330) 392-4199, or through Graham, Johnny via phone (330) 392-4199.

Contact Information

Primary practice address
1228 W Market St Warren OH 44485-2780
Phone: (330) 392-4199
Fax: (330) 392-4904
Website:
Map and Directions
Authorized official contact:
Name: Graham, Johnny LICDC
Phone: (330) 392-4199

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X 6949 Ohio

Profile Details

NPI number 1407820343
LBN Legal business name York Avenue Church Of God Treatment Center
DBA Doing business as
Authorized official Graham, Johnny LICDC
Entity Organization
Organization subpart 1 No
Enumeration date Feb 16th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407820343 NPPES
Ohio Other 06949 UCI NUMBER

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