Provider Demographics
NPI:1194240424
Name:PITTS, NAJWA AMERA (CDCA)
Entity type:Individual
Prefix:
First Name:NAJWA
Middle Name:AMERA
Last Name:PITTS
Suffix:
Gender:F
Credentials:CDCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1657 CONE ST
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-4404
Mailing Address - Country:US
Mailing Address - Phone:567-315-0647
Mailing Address - Fax:
Practice Address - Street 1:3491 STATE ROUTE 108
Practice Address - Street 2:
Practice Address - City:WAUSEON
Practice Address - State:OH
Practice Address - Zip Code:43567-9410
Practice Address - Country:US
Practice Address - Phone:419-404-9003
Practice Address - Fax:419-404-9004
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-08
Last Update Date:2017-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility