Organization
BURDMAN GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK WINGERT (CONTROLLER)
(330) 743-9275
Entity
Organization
Contact information
Practice address
3120 W MARKET ST, WARREN, OH 44485-3069
(330) 898-6992
Mailing address
284 BROADWAY AVE, YOUNGSTOWN, OH 44504-1752
(330) 743-9275
(330) 743-6110
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
0305
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2314472
—
OH
Enumeration date
03/25/2008
Last updated
05/30/2008
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