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Child And Adolescent Behavioral Health

Child And Adolescent Behavioral Health is a health care provider in Alliance, OH. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 1207 W State St, Suite G, Alliance, OH 44601-4686, US
Practice Location Phone330-823-5335
Practice Location Fax330-823-9177
Legal Business NameCHILD AND ADOLESCENT BEHAVIORAL HEALTH
NPI ?1417181066
Entity TypeOrganization
Enumeration Date ? May 12, 2009
Last Update Date ? May 12, 2009
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Child And Adolescent Behavioral Health

SpecialtySpecializationLicenseLicense State
Case Management 171M00000XOhio

legacy-id-icon Legacy Provider IDs of Child And Adolescent Behavioral Health

Provider IdIssuer StateIssuer TypeIssuer
0290822OhioMedicaid

official-icon Authorized Official of Child And Adolescent Behavioral Health

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Child And Adolescent Behavioral Health's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Ms. Miriam A Gortney (BA)
Authorized Official Title/PositionCPSTP
Authorized Official Phone Number330-806-5615