| Dhsc Llc | |
|
400 Austin Ave Nw Massillon OH 44646-3554 | |
| (330) 837-7200 | |
| (330) 830-1616 |
| Full Name | Dhsc Llc |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 400 Austin Ave Nw, Massillon, Ohio |
| Authorized Official Name and Position | Tara Richardson (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 6152213672 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dhsc Llc Po Box 10390 Fort Wayne IN 46852-0390 Ph: (330) 837-7200 | Dhsc Llc 400 Austin Ave Nw Massillon OH 44646-3554 Ph: (330) 837-7200 |
| NPI Number | 1508819798 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 04/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508819798 | NPI | - | NPPES |
| 0353853 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | PPH04-2460 (Ohio) | Primary |
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