Provider Demographics
NPI:1386494722
Name:MANNAMENTAL ADDICTION AND RECOVERY CLINIC LLP
Entity type:Organization
Organization Name:MANNAMENTAL ADDICTION AND RECOVERY CLINIC LLP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:ABIGAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:AKYEAMPONG
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:740-818-5248
Mailing Address - Street 1:2619 FOXBURY LN
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-7153
Mailing Address - Country:US
Mailing Address - Phone:740-818-5248
Mailing Address - Fax:
Practice Address - Street 1:201 W ELM ST
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45801-4811
Practice Address - Country:US
Practice Address - Phone:419-673-7754
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-26
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)