York Avenue Church Of God Treatment Center

NPI Provider: 1407820343
Contact Name: Graham Johnny
Position: Executive Director
Phone: (330) 392-4199

York Avenue Church Of God Treatment Center Information:

York Avenue Church Of God Treatment Center organization have npi 1407820343, taxonomy code is 251B00000X with license number is 6949 in . This Business address located in 1228 W Market St, Warren, OH 44485 Ohio.

Practice Location
Address: 1228 W Market St, Warren, OH 44485
Phone: (330) 392-4199

Business Location
Address: 1228 W Market St, Warren, OH 44485
Phone: (330) 392-4199
Fax: (330) 392-4904

Taxonomy

Taxonomy Code: 251B00000X

License Number: 6949

License Number of State: OH

Primary Taxonomy Switch: Y

Enumeration Date: 2/16/2006

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