Family Connection Of Wadsworth IV, LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Wadsworth, OH. Organization (NPI-2).
NPI number1942859376
StatusActive
Last updated in NPPESSep 9, 2019
Details
- NPI
- 1942859376
- Entity type
- Organization (NPI-2)
- Legal business name
- Family Connection Of Wadsworth IV, LLC
- Organization subpart
- No
- Enumeration date
- Sep 9, 2019
- Last updated
- Sep 9, 2019
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 330-461-4093 · Fax 330-334-2235
Mailing address
140 Wadsworth RdWadsworth, OH 44281-9503
Phone 330-461-4093 · Fax 330-334-2235
Authorized official
Robin Waltenberger
Manager
3304614093
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