| Impactherapeutics | |
|
150 W Main St Andover OH 44003-9318 | |
| (440) 895-7356 | |
| Not Available |
| Full Name | Impactherapeutics |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 150 W Main St, Andover, Ohio |
| Authorized Official Name and Position | Ashley Bair (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 4408957356 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impactherapeutics 150 W Main St Andover OH 44003-9318 Ph: () - | Impactherapeutics 150 W Main St Andover OH 44003-9318 Ph: (440) 895-7356 |
| NPI Number | 1306613823 |
|---|---|
| Provider Enumeration Date | 12/05/2023 |
| Last Update Date | 12/05/2023 |
| Certification Date | 12/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306613823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |