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Organization

FORENSIC PSYCHIATRIC CENTER OF NORTHEAST OHIO, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GERALD L HEINBAUGH MS, MBA (EXECUTIVE DIRECTOR)
(330) 792-1918
Entity
Organization

Contact information

Practice address
5212 MAHONING AVE, SUITE 317, YOUNGSTOWN, OH 44515-1857
(330) 792-1918
(330) 792-7712
Mailing address
5212 MAHONING AVE, SUITE 317, YOUNGSTOWN, OH 44515-1857
(330) 792-1918
(330) 792-7712

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
295
OH
251S00000X
Community/Behavioral Health Agency
Primary
295
OH

Other

Enumeration date
09/17/2009
Last updated
09/17/2009
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