Organization Name: | PSYCARE INC |
NPI Number: | 1083888796 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RHONDA S REEDER (OFFICE MGR) |
Mailing Address: | 15549 State Route 170 Suite 10 East Liverpool |
State: | OH US |
Postal Code: | 439209216 |
Phone Number: | 3303851000 |
Fax Number: | 3303853588 |
NPI Enumeration Date: | 04/15/2008 |
NPI Last Update Date: | 04/15/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 1730 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |