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Organization
MANSFIELD UMADAOP, INC.
Active
Organization
MANSFIELD UMADAOP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERON TATE ICDC/OCPSII (PRESIDENT/CEO)
(419) 525-3531
Entity
Organization
Contact information
Practice address
400 BOWMAN ST, MANSFIELD, OH 44903-1235
(419) 525-3535
(419) 525-3538
Mailing address
400 BOWMAN ST, P.O. BOX 1316, MANSFIELD, OH 44903-1235
(419) 525-3535
(419) 525-3538
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OH
Other
Enumeration date
07/06/2006
Last updated
08/22/2020
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