Organization Name: | CHURCHILL COUNSELING SERVICES, INC |
NPI Number: | 1013996271 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TONI DIMARGIO (CEO) |
Mailing Address: | 4531 Belmont Avenue Youngstown |
State: | OH US |
Postal Code: | 445051041 |
Phone Number: | 3307593040 |
Fax Number: | 3307593070 |
NPI Enumeration Date: | 01/15/2006 |
NPI Last Update Date: | 11/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |