Organization
MANSFIELD UMADAOP INC
Active
Other names
Mansfield Urban Minority Alcoholism & Drug Abuse
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS A. BAKER (EXECUTIVE DIRECTORE)
(419) 525-3531
Entity
Organization
Contact information
Practice address
400 BOWMAN STREET, MANSFIELD, OH 44901
(419) 525-3525
(419) 525-3538
Mailing address
PO BOX 1316, 400 BOWMAN STREET, MANSFIELD, OH 44901
(419) 525-3525
(419) 525-3538
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
07/13/2006
Last updated
08/22/2008
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