NPI 1023555729

Tracy Keding

Practitioner Mental Illness Community Based Residential Treatment Facility Mansfield, OH

Practice location

Address: 1451 Lucas Rd, Mansfield, OH 44903-8682
Phone: (419) 589-5511

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence 320800000X (OH)

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

Registry record

NPI: 1023555729
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Jan 2017
Record last updated: 20 Jan 2017

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.