Organization
THE WAY STATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY M HOLSOPPLE LISW-S (EXECUTIVE DIRECTOR)
(330) 385-7510
Entity
Organization
Contact information
Practice address
432 W FIFTH ST, EAST LIVERPOOL, OH 43920-2467
(330) 385-7510
(330) 385-7530
Mailing address
769 SPRINGFIELD RD, PO BOX 449, COLUMBIANA, OH 44408-9456
(330) 482-5072
(330) 482-5074
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
11155
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11155
—
OH
Enumeration date
03/09/2006
Last updated
07/07/2008
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