Provider Demographics
NPI:1598083966
Name:THE TWELVE OF OHIO, INC.
Entity Type:Organization
Organization Name:THE TWELVE OF OHIO, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:D
Authorized Official - Last Name:STOIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-837-3555
Mailing Address - Street 1:619 TREMONT AVE SW
Mailing Address - Street 2:
Mailing Address - City:MASSILLON
Mailing Address - State:OH
Mailing Address - Zip Code:44647-6468
Mailing Address - Country:US
Mailing Address - Phone:330-837-3555
Mailing Address - Fax:330-837-0593
Practice Address - Street 1:619 TREMONT AVE SW
Practice Address - Street 2:
Practice Address - City:MASSILLON
Practice Address - State:OH
Practice Address - Zip Code:44647-6468
Practice Address - Country:US
Practice Address - Phone:330-837-3555
Practice Address - Fax:330-837-0593
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-11
Last Update Date:2010-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health