State of Ohio Office of Budget and Management, State Accounting
NPI #1013986082 in Willoughby, Ohio
Provider Information
- NPI Number
- 1013986082
- Entity Type
- Organization
- Organization Name
- State of Ohio Office of Budget and Management, State Accounting
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Mar 14, 2006
- Last Updated
- Nov 30, 2011
Practice Location
- Address
- 1420 LOST NATION RD
- City
- Willoughby
- State
- Ohio
- ZIP Code
- 44094-7375
- Phone
- (330) 467-7131
Authorized Official
- Name
- MS. TONYA MARIE FASONE
- Title
- FISCAL MANAGER
- Phone
- (614) 466-9930
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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