Organization
ALTERNATIVE RESIDENTIAL TREATMENT OF ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIE M MINNICH (CEO)
(330) 614-4507
Entity
Organization
Contact information
Practice address
815 PARKWAY BLVD, ALLIANCE, OH 44601-2750
(330) 614-4507
Mailing address
815 PARKWAY BLVD, ALLIANCE, OH 44601-2750
(330) 614-4507
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
7610080
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0175526
—
OH
Enumeration date
02/07/2017
Last updated
02/07/2017
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