Third Street Community Clinic INC

NPI #1619710738 in Mansfield, Ohio

Provider Information

NPI Number: 1619710738
Entity Type: Organization
Organization Name: Third Street Community Clinic INC
Primary Specialty: Substance Abuse Rehabilitation Facility
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 - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder	261QR0405X
Substance Abuse Rehabilitation Facility	324500000X	Primary

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