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NPI Code Detail

MEDICARE: SPECIALIZED ALTERNATIVES FOR FAMILY AND YOUTH

MEDICARE: SPECIALIZED ALTERNATIVES FOR FAMILY AND YOUTH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health AgencyS1101026OH

General Provider Information

NPI Number : 1619326097
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPECIALIZED ALTERNATIVES FOR FAMILY AND YOUTH
Provider Business Mailing Address
First Line : 407 HAMILTON RD APT 3
Second Line :
City : WAPAKONETA
State : OH
Zip : 45895-1153
Country : US
Telephone Number : 419-302-5292
Fax Number :
Provider Business Practice Location Address
First Line : 658 W MARKET ST STE 101
Second Line :
City : LIMA
State : OH
Zip : 45801-5604
Country : US
Telephone Number : 419-222-1527
Fax Number :
Authorized Official
Title or Position : INTERVENTION SPECIALIST
Name : MISS CHRISTINE R PACK
Credential : LSW
Telephone Number : 419-222-1527
Provider Enumeration Date : 06/07/2016
Last Update Date : 06/07/2016

Similar Medicare Providers

1447216718 — SPECIALIZED ALTERNATIVES FOR FAMILIES AND YOUTH OF OHIO, INC.
Practice Location Address:
658 W MARKET ST STE 101
LIMA, OH
45801-5604
Practice Phone: 419-222-1527
Practice Fax: 419-222-3586
1487991931 — DEBORAH POHLMAN MSW, LISW
Practice Location Address:
658 W MARKET ST STE 101
LIMA, OH
45801-5604
Practice Phone: 419-222-1527
Practice Fax:
1952725509 — TRISHA R NEWLAND L.I.S.W.SUPV
Practice Location Address:
658 W MARKET ST STE 101
LIMA, OH
45801-5604
Practice Phone: 419-222-1527
Practice Fax: 419-222-3586
1811309917 — MRS. CHRISTINE R PACK BSW, LSW
Practice Location Address:
658 W MARKET ST STE 101
LIMA, OH
45801-5604
Practice Phone: 419-222-1527
Practice Fax:
1952751588 — AMANDA CAMERON LSW
Practice Location Address:
658 W MARKET ST STE 101
LIMA, OH
45801-5604
Practice Phone: 419-222-1527
Practice Fax:
1336642644 — JESSICA SCHMITZ
Practice Location Address:
658 W MARKET ST STE 101
LIMA, OH
45801-5604
Practice Phone: 419-222-1527
Practice Fax: 419-222-3586

Directions to “SPECIALIZED ALTERNATIVES FOR FAMILY AND YOUTH ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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