| Jewish Family Services | |
|
517 Gypsy Ln Youngstown OH 44504-1314 | |
| (330) 746-7929 | |
| (330) 746-7939 |
| Full Name | Jewish Family Services |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 517 Gypsy Ln, Youngstown, Ohio |
| Authorized Official Name and Position | Alvin Weisberg (DIRECTOR) |
| Authorized Official Contact | 3307467929 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jewish Family Services 517 Gypsy Ln Youngstown OH 44504-1314 Ph: (330) 746-7929 | Jewish Family Services 517 Gypsy Ln Youngstown OH 44504-1314 Ph: (330) 746-7929 |
| NPI Number | 1841340056 |
|---|---|
| Provider Enumeration Date | 01/11/2007 |
| Last Update Date | 03/21/2024 |
| Certification Date | 03/21/2024 |
| Medicare PECOS PAC ID | 9931007713 |
|---|---|
| Medicare Enrollment ID | O20031230000818 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841340056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Vivian A Fantauzzi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326196197 PECOS PAC ID: 6204093230 Enrollment ID: I20120202000824 |
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