Organization
ANAZAO COMMUNITY PARTNERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN RAY BOWEN NON PRACTICING CPA (OPERATIONS OFFICER)
(330) 264-9597
Entity
Organization
Contact information
Practice address
2587 BACK ORRVILLE RD, WOOSTER, OH 44691-9523
(330) 264-9597
(330) 264-0946
Mailing address
2587 BACK ORRVILLE RD, WOOSTER, OH 44691-9523
(330) 264-9597
(330) 264-0946
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
1537
OH
251S00000X
Community/Behavioral Health Agency
Primary
1537
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1537
—
OH
01
—
2877196
AOD PROVIDER #
OH
Enumeration date
05/25/2012
Last updated
11/17/2014
Update your record
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