Provider Demographics
NPI:1568136158
Name:MAHONING COUNTY COMMUNITY CORRECTIONS ASSOCIATION, INC.
Entity Type:Organization
Organization Name:MAHONING COUNTY COMMUNITY CORRECTIONS ASSOCIATION, INC.
Other - Org Name:COMMUNITY CORRECTIONS ASSOCIATION, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:NEELY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-744-5143
Mailing Address - Street 1:1507 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44507-1127
Mailing Address - Country:US
Mailing Address - Phone:330-744-5143
Mailing Address - Fax:330-742-8661
Practice Address - Street 1:1771 MARKET ST
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44507-1135
Practice Address - Country:US
Practice Address - Phone:330-744-5143
Practice Address - Fax:330-742-8661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-06
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health