Juanita Randle

NPI #1073221362 in Youngstown, Ohio

Provider Information

NPI Number: 1073221362
Entity Type: Individual
Name: Juanita Randle
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Nov 7, 2022
Last Updated: Nov 7, 2022

Practice Location

Address: 4401 MARKET ST
City: Youngstown
State: Ohio
ZIP Code: 44512-1511
Phone: (330) 333-3339

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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