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Organization
NORTHEAST OHIO APPLIED HEALTH
Active
Organization
NORTHEAST OHIO APPLIED HEALTH
Active
Other names
NOAH
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARRYL MASON (EXECUTIVE DIRECTER)
(330) 467-0085
Entity
Organization
Contact information
Practice address
8536 CROW DR STE 30, MACEDONIA, OH 44056-1900
(330) 467-0085
(330) 467-0094
Mailing address
8536 CROW DR STE 30, MACEDONIA, OH 44056-1900
(330) 467-0085
(330) 467-0094
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3115444
—
OH
Enumeration date
04/24/2012
Last updated
04/24/2012
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