STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING NPI 1013986082

NPI Information

STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT, STATE ACCOUNTING is a community based residential treatment facility mental illness in Willoughby, OH. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT, STATE ACCOUNTING NPI is 1013986082. The provider is registered as an organization entity type.
The provider Is Doing Business As Nb - Lake Residential Support Csn.

The provider's business location address is:

1420 LOST NATION RD
WILLOUGHBY, OH
ZIP 44094-375
Phone: (330) 467-7131
Fax: (330) 467-2420

The provider's authorized official is Tonya Marie Fasone .
The authorized official title is Fiscal Manager and has the following contact phone number (614) 466-9930.

The enumeration date for this NPI number is 3/14/2006 and was last updated on 11/30/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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