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NPI Code Detail

MEDICARE: AKRON-URBAN MINORITY ALCOHOLISM DRUG ABUSE OUTREACH PROGRAM, INC.

MEDICARE: AKRON-URBAN MINORITY ALCOHOLISM DRUG ABUSE OUTREACH PROGRAM, INC.
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 Agency247124
2251S00000XCommunity/Behavioral Health Agency6838OH

General Provider Information

NPI Number : 1114056041
Entity Type Code : Organization
Provider Name (Legal Business Name) : AKRON-URBAN MINORITY ALCOHOLISM DRUG ABUSE OUTREACH PROGRAM, INC.
Provider Business Mailing Address
First Line : 665 WEST MARKET STREET
Second Line :
City : AKRON
State : OH
Zip : 44303-1438
Country : US
Telephone Number : 330-379-3467
Fax Number : 330-379-3465
Provider Business Practice Location Address
First Line : 665 WEST MARKET STREET
Second Line :
City : AKRON
State : OH
Zip : 44303-1438
Country : US
Telephone Number : 330-379-3467
Fax Number : 330-379-3465
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MR. DONALD CHRISTIAN
Credential :
Telephone Number : 330-379-3467
Provider Enumeration Date : 03/05/2007
Last Update Date : 08/08/2024

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Directions to “AKRON-URBAN MINORITY ALCOHOLISM DRUG ABUSE OUTREACH PROGRAM, INC. ” Practice Location

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