Organization
EASTWAY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BOB GROSKOPF (VICE PRESIDENT & CFO)
(937) 496-2000
Entity
Organization
Contact information
Practice address
600 WAYNE AVE, DAYTON, OH 45410-1122
(937) 496-2000
(937) 496-2185
Mailing address
600 WAYNE AVE, DAYTON, OH 45410-1122
(937) 496-2000
(937) 496-2185
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
0327
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0288997
—
OH
Enumeration date
03/14/2008
Last updated
03/14/2008
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