Organization
MERCY HEALTH-ST RITAS MEDICAL CENTER LLC
Active
Other names
St. Rita's Psychiatric Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL E. LAWRENCE (REVENUE CYLE MANAGER)
(419) 226-9786
Entity
Organization
Contact information
Practice address
830 W HIGH ST, SUITE 260, LIMA, OH 45801-3971
(419) 996-5033
Mailing address
PO BOX 73524, CLEVELAND, OH 44193-1140
(419) 996-5114
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
35047163-W
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2582718
—
OH
Enumeration date
07/13/2006
Last updated
01/13/2022
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