Organization
IMPERFECTA&K
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEE AUSTIN (MENTAL HEALTH ADVOCATE)
(234) 430-9753
Entity
Organization
Contact information
Practice address
434 MEADOWBROOK AVE SE, WARREN, OH 44483-6331
(234) 430-9753
Mailing address
434 MEADOWBROOK AVE SE, WARREN, OH 44483-6331
(234) 430-9753
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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