Third Street Community Clinic INC

NPI #1700534575 in Ontario, Ohio

Provider Information

NPI Number
1700534575
Entity Type
Organization
Organization Name
Third Street Community Clinic INC
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Mar 11, 2022
Last Updated
Mar 11, 2022

Practice Location

Address
2131 PARK AVE W STE 200
State
Ohio
ZIP Code
44906-1226
Phone
(419) 525-6730

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adult Mental HealthAdult Mental Health
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)
Clinic/Center - Adolescent and Children Mental HealthAdolescent and Children Mental Health
Pharmacy - Clinic PharmacyClinic Pharmacy
Clinic/Center - Primary CarePrimary Care

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