Organization
SUMMIT CENTER FOR BEHAVIORAL SCIENCES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHER M MANSOUR M.D. (OWNER)
(330) 836-6825
Entity
Organization
Contact information
Practice address
3200 W MARKET ST, SUITE 205, FAIRLAWN, OH 44333-3335
(330) 836-6825
(330) 836-6742
Mailing address
3200 W MARKET ST, SUITE 205, FAIRLAWN, OH 44333-3335
(330) 836-6825
(330) 836-6742
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35061917
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2493930
—
OH
Enumeration date
01/19/2007
Last updated
04/23/2008
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