Organization Name: | STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT, STATE ACCOUNTING |
NPI Number: | 1013986082 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TONYA MARIE FASONE (FISCAL MANAGER) |
Mailing Address: | 1420 Lost Nation Rd Willoughby |
State: | OH US |
Postal Code: | 440947375 |
Phone Number: | 3304677131 |
Fax Number: | 3304672420 |
NPI Enumeration Date: | 03/14/2006 |
NPI Last Update Date: | 11/30/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320800000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment Facility, Mental Illness |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |