NPI 1134540503

The Village Network INC.

Organisation Mental Illness Community Based Residential Treatment Facility Boardman, OH

Practice location

Address: 5500 Market St STE 106, Boardman, OH 44512-2616
Phone: (330) 788-1155
Fax: (330) 788-1467

Authorised official

Name: Charles Eric Baldwin
Title: Program Director
Phone: (330) 788-1155

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence S.0500644 (OH)

Other Community Based Residential Treatment Facility, Mental Illness providers in Ohio →

Registry record

NPI: 1134540503
Entity type: Organization
NPI issued: 2 Jan 2014
Record last updated: 2 Jan 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.