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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