| NPI | 1467421438 |
|---|---|
| Doing Business As | NB - MAHONING INTENSIVE TREATMENT TEAM CSN |
| Entity Type | Organization |
| Authorized Contact | TONYA FASONE Fiscal Manager 614-466-9930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2011-10-12 |