ZACHERY T NICOLOSI

MARION, OH
NPI1356905889
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X 
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2019-04-30
Last Update Date2019-04-30
Business Address
ZACHERY T NICOLOSI QMHS CMS
1199 DELAWARE AVE STE 107
MARION, OH 43302-7462
Phone number: 440-260-8300
Mailing Address
ZACHERY T NICOLOSI QMHS CMS
434 EASTLAND RD
BEREA, OH 44017-1217
Phone number: 400-234-2006