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CHRISTIAN CHILDREN'S HOME OF OHIO NPI 1588694590


NPI Information

NPI: 1588694590
Provider Name: CHRISTIAN CHILDREN'S HOME OF OHIO
Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

CLIA Number: 36D2207314

Address:
2685 ARMSTRONG RD
WOOSTER, OH
ZIP 44691
Phone: (330) 345-7949
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CHRISTIAN CHILDREN'S HOME OF OHIO is an adolescent and children mental health clinic center in Wooster, OH. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. CHRISTIAN CHILDREN'S HOME OF OHIO NPI is 1588694590. The provider is registered as an organization entity type.

The provider's business location address is:

2685 ARMSTRONG RD
WOOSTER, OH
ZIP 44691-041
Phone: (330) 345-7949
Fax: (330) 345-5218

The provider's authorized official is Kevin R. Hewitt .
The authorized official title is President and has the following contact phone number (330) 345-7949.

The CLIA number assigned to this NPI record is 36D2207314 - other - residental mh with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/4/2006 and was last updated on 6/17/2021.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0850XClinic/CenterAdult Mental HealthOHIONo
2261QM0855XClinic/CenterAdolescent and Children Mental HealthOHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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