Provider Demographics
NPI:1497873566
Name:SEASON'S PEDIATRIC WELLNESS CENTER
Entity Type:Organization
Organization Name:SEASON'S PEDIATRIC WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNJANETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNBAR
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:740-424-0132
Mailing Address - Street 1:1101 FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:TORONTO
Mailing Address - State:OH
Mailing Address - Zip Code:43964-1155
Mailing Address - Country:US
Mailing Address - Phone:740-424-0132
Mailing Address - Fax:740-282-0863
Practice Address - Street 1:1101 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:TORONTO
Practice Address - State:OH
Practice Address - Zip Code:43964-1155
Practice Address - Country:US
Practice Address - Phone:740-424-0132
Practice Address - Fax:740-282-0863
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health