Family Connection Of Wadsworth 3 LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Wadsworth, OH. Organization (NPI-2).
NPI number1790447704
StatusActive
Last updated in NPPESDec 3, 2021
Details
- NPI
- 1790447704
- Entity type
- Organization (NPI-2)
- Legal business name
- Family Connection Of Wadsworth 3 LLC
- Organization subpart
- No
- Enumeration date
- Oct 6, 2021
- Certification date
- Dec 3, 2021
- Last updated
- Dec 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
140 Wadsworth RdWadsworth, OH 44281-9503
Phone 234-281-4325
Mailing address
140 Wadsworth RdWadsworth, OH 44281-9503
Authorized official
Chelsea Walton
Lpcc, Mft/Owner
2342814325
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