NPI 1194799114
State of Ohio Office of Budget and Management State Accounting
Practice location
- Address
- 1756 Sagamore Rd, Northfield, OH 44067-1086
- Phone
- (330) 467-7131
- Fax
- (330) 467-2420
- Mailing address
- 30 E Broad St 11th Fl, Attn:tonya Fasone, Columbus, OH 43215-3414
Authorised official
- Name
- Dave Colletti
- Title
- Ceo
- Phone
- (330) 467-7131
Registered specialties
Psychiatric Hospital
Primary
Registry record
- NPI
- 1194799114
- Entity type
- Organization
- NPI issued
- 15 Feb 2006
- Record last updated
- 6 Oct 2010
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.