Organization Name: | WARREN PSYCHIATRIC CONSULTANTS INC |
NPI Number: | 1235154071 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DHARL CHINTAN (ADMINISTRATOR) |
Mailing Address: | 4505 Logan Way Hubbard |
State: | OH US |
Postal Code: | 444253311 |
Phone Number: | 3302593664 |
Fax Number: | 3302593665 |
NPI Enumeration Date: | 07/13/2006 |
NPI Last Update Date: | 08/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |