Organization
PSYCHOLOGICAL HEALTH CENTER & ALCOHOLISM TREATMENT PROGRAM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GINTAUTAS Z. SABATAITIS PH.D. (PRESIDENT)
(440) 845-9061
Entity
Organization
Contact information
Practice address
6315 PEARL RD, SUITE 207, PARMA HEIGHTS, OH 44130-3074
(440) 845-9061
(440) 845-9062
Mailing address
6315 PEARL RD, SUITE 207, PARMA HEIGHTS, OH 44130-3074
(440) 845-9061
(440) 845-9062
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
1436
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0251561
—
OH
01
—
1093784811
INDIVIDUAL NPI
OH
Enumeration date
03/18/2008
Last updated
03/18/2008
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