Provider Demographics
NPI:1073782496
Name:WESTWOOD BEHAVIORAL HEALTH CENTER, INC. NORTH
Entity Type:Organization
Organization Name:WESTWOOD BEHAVIORAL HEALTH CENTER, INC. NORTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:A
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-238-3434
Mailing Address - Street 1:501 MC DONALD PIKE
Mailing Address - Street 2:
Mailing Address - City:PAULDING
Mailing Address - State:OH
Mailing Address - Zip Code:45879
Mailing Address - Country:US
Mailing Address - Phone:419-399-3636
Mailing Address - Fax:419-399-5915
Practice Address - Street 1:501 MC DONALD PIKE
Practice Address - Street 2:
Practice Address - City:PAULDING
Practice Address - State:OH
Practice Address - Zip Code:45879
Practice Address - Country:US
Practice Address - Phone:419-399-3636
Practice Address - Fax:419-399-5915
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WESTWOOD BEHAVIORAL HEALTH CENTER, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-02-29
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)