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NPI Code Detail

MEDICARE: TOWNHALL II INC.

MEDICARE: TOWNHALL II 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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
2261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number : 1407808827
Entity Type Code : Organization
Provider Name (Legal Business Name) : TOWNHALL II INC.
Provider Business Mailing Address
First Line : 155 N WATER ST
Second Line :
City : KENT
State : OH
Zip : 44240-2418
Country : US
Telephone Number : 330-678-3006
Fax Number : 330-677-7047
Provider Business Practice Location Address
First Line : 155 N WATER ST
Second Line :
City : KENT
State : OH
Zip : 44240-2418
Country : US
Telephone Number : 330-678-3006
Fax Number : 330-677-7047
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : SUE E WHITEHURST
Credential :
Telephone Number : 330-378-3006
Provider Enumeration Date : 05/16/2006
Last Update Date : 06/17/2009

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