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Faust S Amazing

Community/Behavioral Health in Youngstown, OH. Individual provider (NPI-1).

NPI number1184402166
StatusActive
Last updated in NPPESSep 20, 2023

Details

NPI
1184402166
Entity type
Individual (NPI-1)
Name
Faust S Amazing
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 20, 2023
Certification date
Sep 20, 2023
Last updated
Sep 20, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

238 S Meridian Rd
Youngstown, OH 44509-2925

Phone 330-318-3436

Mailing address

238 S Meridian Rd
Youngstown, OH 44509-2925

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