| Mansfield Umadaop, Inc. | |
|
400 Bowman St Mansfield OH 44903-1235 | |
| (419) 525-3535 | |
| (419) 525-3538 |
| Full Name | Mansfield Umadaop, Inc. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 400 Bowman St, Mansfield, Ohio |
| Authorized Official Name and Position | Geron Tate (PRESIDENT/CEO) |
| Authorized Official Contact | 4195253531 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mansfield Umadaop, Inc. 400 Bowman St P.o. Box 1316 Mansfield OH 44903-1235 Ph: (419) 525-3535 | Mansfield Umadaop, Inc. 400 Bowman St Mansfield OH 44903-1235 Ph: (419) 525-3535 |
| NPI Number | 1326070160 |
|---|---|
| Provider Enumeration Date | 07/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326070160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Ohio) | Primary |
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