Oak House
NPI #1558300467 in Port Clinton, Ohio
Provider Information
- NPI Number
- 1558300467
- Entity Type
- Organization
- Organization Name
- Oak House
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Jun 6, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 333A BUCKEYE BLVD
- City
- Port Clinton
- State
- Ohio
- ZIP Code
- 43452-1423
- Phone
- (419) 734-4417
Authorized Official
- Name
- MR. GARY JAMES KORMENDY
- Title
- EXECUTIVE DIRECTOR
- Phone
- (419) 734-4417
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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