Provider Demographics
NPI:1508379314
Name:TRUMBULL COUNTY CHILDREN SERVICES
Entity Type:Organization
Organization Name:TRUMBULL COUNTY CHILDREN SERVICES
Other - Org Name:TRUMBULL COUNTY CHILDREN SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR CHILDREN SERVICE
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:E
Authorized Official - Last Name:SCHAFFNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-372-2010
Mailing Address - Street 1:2282 REEVES RD NE
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44483-4300
Mailing Address - Country:US
Mailing Address - Phone:330-372-2010
Mailing Address - Fax:330-372-3446
Practice Address - Street 1:2282 REEVES RD NE
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44483-4300
Practice Address - Country:US
Practice Address - Phone:330-372-2010
Practice Address - Fax:330-372-3446
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRUMBULL COUNTY HEALTH DEPARTMENT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-11-15
Last Update Date:2017-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health