Organization
STATE OF OHIO OFFICE OF BUDGET AND MGMT, STATE ACCOUNTING
Active
Other names
NB - Mahoning Intensive Treatment Team CSN
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TONYA FASONE (FISCAL MANAGER)
(614) 466-9930
Entity
Organization
Contact information
Practice address
1344 5TH AVE, YOUNGSTOWN, OH 44504-1728
(330) 467-7131
(330) 467-2450
Mailing address
30 E. BROAD ST, 11TH FLOOR - FISCAL ADMINISTRATION, COLUMBUS, OH 43215-3430
(614) 466-6583
(614) 644-5331
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2488400
—
OH
Enumeration date
03/14/2006
Last updated
06/12/2025
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