Organization
EASTWAY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYBIL SAUM-JOHNSON (CHIEF OPERATIONS OFFICER)
(937) 496-2000
Entity
Organization
Contact information
Practice address
600 WAYNE AVE, DAYTON, OH 45410-1122
(937) 496-2000
(937) 463-2901
Mailing address
600 WAYNE AVE, DAYTON, OH 45410-1122
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
1396
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0201758
—
OH
Enumeration date
07/08/2006
Last updated
07/17/2017
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