| Lima Umadaop | |
|
311 E Market St Fl 3 Lima OH 45801-4535 | |
| (419) 222-4474 | |
| (419) 222-7044 |
| Full Name | Lima Umadaop |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 311 E Market St Fl 3, Lima, Ohio |
| Authorized Official Name and Position | Myrtle Blanche Boykin-lighton (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 4192224474 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lima Umadaop 311 E Market St Fl 3 Lima OH 45801-4535 Ph: (419) 222-4474 | Lima Umadaop 311 E Market St Fl 3 Lima OH 45801-4535 Ph: (419) 222-4474 |
| NPI Number | 1336780196 |
|---|---|
| Provider Enumeration Date | 10/03/2019 |
| Last Update Date | 11/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336780196 | NPI | - | NPPES |
| 2627661 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | () | Primary |
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