Organization
CATHOLIC CHARITIES OF ASHTABULA COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK J ASTORINO (EXECUTIVE DIRECTOR)
(440) 992-2121
Entity
Organization
Contact information
Practice address
4200 PARK AVE, FLOOR 3, ASHTABULA, OH 44004-6887
(440) 992-2121
(440) 992-5974
Mailing address
4200 PARK AVE, FLOOR 3, ASHTABULA, OH 44004-6887
(440) 992-2121
(440) 992-5974
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
144
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03397
—
OH
Enumeration date
03/29/2006
Last updated
08/22/2020
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