Organization
ANAZAO COMMUNITY PARTNERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN R BOWEN CPA - NON PRACTICE (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
251V00000X
Voluntary or Charitable Agency
1537
OH
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
1537
OH
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
1537
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1537
—
OH
Enumeration date
05/08/2006
Last updated
11/17/2014
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