Organization
U1ST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBONIE BOURGOIN (OWNER)
(330) 853-8627
Entity
Organization
Contact information
Practice address
3118 WILLIAMSBURG ST NW, WARREN, OH 44485-2255
(330) 853-8627
Mailing address
3118 WILLIAMSBURG ST NW, WARREN, OH 44485-2255
(330) 853-8627
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/26/2025
Last updated
11/26/2025
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