Organization
SPECIALIZED ALTERNATIVES FOR FAMILY AND YOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CHRISTINE R PACK LSW (INTERVENTION SPECIALIST)
(419) 222-1527
Entity
Organization
Contact information
Practice address
658 W MARKET ST STE 101, LIMA, OH 45801-5604
(419) 222-1527
Mailing address
407 HAMILTON RD APT 3, WAPAKONETA, OH 45895-1153
(419) 302-5292
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
S1101026
OH
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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