| Organization Name: | PSYCARE, INC. |
| NPI Number: | 1073659603 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRIS HELTZEL (BILLING CLERK) |
| Mailing Address: | 997 Boardman Canfield Rd Boardman |
| State: | OH US |
| Postal Code: | 445124223 |
| Phone Number: | 3307580101 |
| Fax Number: | 3307580128 |
| NPI Enumeration Date: | 01/30/2007 |
| NPI Last Update Date: | 01/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |