| Tree Of Life Healthcare Llc | |
|
3043 Kiwatha Rd Youngstown OH 44511-3003 | |
| (330) 729-5748 | |
| Not Available |
| Full Name | Tree Of Life Healthcare Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3043 Kiwatha Rd, Youngstown, Ohio |
| Authorized Official Name and Position | Melinda Smith (OWNER) |
| Authorized Official Contact | 3307295748 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tree Of Life Healthcare Llc 3043 Kiwatha Rd Youngstown OH 44511-3003 Ph: () - | Tree Of Life Healthcare Llc 3043 Kiwatha Rd Youngstown OH 44511-3003 Ph: (330) 729-5748 |
| NPI Number | 1386243939 |
|---|---|
| Provider Enumeration Date | 10/23/2020 |
| Last Update Date | 10/23/2020 |
| Certification Date | 10/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386243939 | NPI | - | NPPES |
| 1316071368 | Medicaid | OH | |
| 1831446863 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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