Provider Demographics
NPI:1598544967
Name:ACCESSION OUTREACH CENTER
Entity Type:Organization
Organization Name:ACCESSION OUTREACH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:BLUE-MCMAHON
Authorized Official - Suffix:
Authorized Official - Credentials:CDCA, OPRS-S, OFRS
Authorized Official - Phone:330-861-9671
Mailing Address - Street 1:839 E MARKET ST STE 206
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44305-2460
Mailing Address - Country:US
Mailing Address - Phone:330-340-3540
Mailing Address - Fax:
Practice Address - Street 1:839 E MARKET ST STE 206
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44305-2460
Practice Address - Country:US
Practice Address - Phone:330-340-3540
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-26
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty