Third Street Community Clinic INC

NPI #1386487403 in Mansfield, Ohio

Provider Information

NPI Number: 1386487403
Entity Type: Organization
Organization Name: Third Street Community Clinic INC
Primary Specialty: Community/Behavioral Health
Enumeration Date: Jun 17, 2024
Last Updated: Jun 17, 2024

Practice Location

Address: 600 W 3RD ST
City: Mansfield
State: Ohio
ZIP Code: 44906-2633
Phone: (419) 522-6191

Authorized Official

Name: PEGGY ANDERSON
Title: CEO
Phone: (419) 526-7880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X
Community/Behavioral Health	251S00000X	Primary

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