Organization
SPECTRUM CONSULTING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA PRUSAK (BUSINESS MANAGER)
(440) 654-4714
Entity
Organization
Contact information
Practice address
129 W 4TH ST, LORAIN, OH 44052-1601
(440) 654-4714
Mailing address
129 W 4TH ST, LORAIN, OH 44052-1601
(440) 654-4714
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
OH1093982
OH
251C00000X
Developmentally Disabled Services Day Training Agency
S-0016958
OH
251S00000X
Community/Behavioral Health Agency
Primary
S-0016958
OH
252Y00000X
Early Intervention Provider Agency
OH1093982
OH
343900000X
Non-emergency Medical Transport (VAN)
RS052920
OH
347C00000X
Private Vehicle
RS052920
OH
Other
Enumeration date
05/14/2014
Last updated
05/16/2014
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