Organization
STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT, STATE ACCOUNTING
Active
Other names
NB - Trumbull Community Treatment Team CSN
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TONYA MARIE FASONE (FISCAL MANAGER)
(614) 466-9930
Entity
Organization
Contact information
Practice address
418 MAIN AVE SW, SUITE 100, WARREN, OH 44481-1060
(330) 467-7131
(330) 467-2420
Mailing address
30 E. BROAD ST., 11TH FLOOR - FISCAL ADMINISTRATION, COLUMBUS, OH 43215-3430
(614) 466-6583
(614) 644-5331
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10094
MACSIS
OH
05
—
2488419
—
OH
Enumeration date
03/14/2006
Last updated
11/30/2011
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