Organization
FORTIS ET HONOREM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD S DAWSON (OWNER)
(330) 321-9502
Entity
Organization
Contact information
Practice address
3860 E SMITH RD, MEDINA, OH 44256-8940
(330) 321-9502
Mailing address
PO BOX 1762, MEDINA, OH 44258-1762
(330) 321-9502
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/19/2022
Last updated
05/19/2022
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