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NPI Code Detail

MEDICARE: CHRISTIAN CHILDREN'S HOME OF OHIO

MEDICARE: CHRISTIAN CHILDREN'S HOME OF OHIO
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
1261QM0850XAdult Mental Health Clinic/CenterOH
2261QM0855XAdolescent and Children Mental Health Clinic/CenterOH

General Provider Information

NPI Number : 1588694590
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHRISTIAN CHILDREN'S HOME OF OHIO
Provider Business Mailing Address
First Line : PO BOX 765
Second Line :
City : WOOSTER
State : OH
Zip : 44691-0765
Country : US
Telephone Number : 330-345-7949
Fax Number : 330-345-5218
Provider Business Practice Location Address
First Line : 2685 ARMSTRONG RD
Second Line :
City : WOOSTER
State : OH
Zip : 44691-9041
Country : US
Telephone Number : 330-345-7949
Fax Number : 330-345-5218
Authorized Official
Title or Position : PRESIDENT
Name : MR. KEVIN R. HEWITT
Credential : MSW, LSW
Telephone Number : 330-345-7949
Provider Enumeration Date : 07/04/2006
Last Update Date : 06/17/2021

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1598618837 — ELENA MARIE GOWE
Practice Location Address:
2685 ARMSTRONG RD
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44691-9041
Practice Phone: 330-345-7949
Practice Fax:
1235015710 — SHAYLA RENEE MORRIS AAS
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1629920095 — MICHAELA GUBICS
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Practice Fax:
1902507007 — MICHELLE LYNN MCLAUGHLIN
Practice Location Address:
2685 ARMSTRONG RD
WOOSTER, OH
44691-9041
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Practice Fax:
1649362419 — MRS. EMILY I. HIONIDES-HORNER MSW, LISW-S
Practice Location Address:
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WOOSTER, OH
44691-9041
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Practice Fax:
1861617979 — STEVEN R WELLS LPC
Practice Location Address:
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44691-9041
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Directions to “CHRISTIAN CHILDREN'S HOME OF OHIO ” Practice Location

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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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