Provider Demographics
NPI:1427216464
Name:EDWARD J WOJNIAK, JR, INC.
Entity Type:Organization
Organization Name:EDWARD J WOJNIAK, JR, INC.
Other - Org Name:DAYBREAK COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:WOJNIAK
Authorized Official - Suffix:JR
Authorized Official - Credentials:PHD
Authorized Official - Phone:614-268-3939
Mailing Address - Street 1:3620 N HIGH ST
Mailing Address - Street 2:SUITE 209
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-3643
Mailing Address - Country:US
Mailing Address - Phone:614-268-3939
Mailing Address - Fax:614-268-3949
Practice Address - Street 1:3620 N HIGH ST
Practice Address - Street 2:SUITE 209
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-3643
Practice Address - Country:US
Practice Address - Phone:614-268-3939
Practice Address - Fax:614-268-3949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-27
Last Update Date:2013-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2513195Medicaid