Provider Demographics
NPI:1518456425
Name:AUSTRIA, ERIN (QMHS)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:AUSTRIA
Suffix:
Gender:F
Credentials:QMHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1225 ORLEN AVE
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44221-2955
Mailing Address - Country:US
Mailing Address - Phone:330-945-4944
Mailing Address - Fax:
Practice Address - Street 1:1225 ORLEN AVE
Practice Address - Street 2:
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44221-2955
Practice Address - Country:US
Practice Address - Phone:330-945-4944
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-07
Last Update Date:2018-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health