Provider Demographics
NPI:1881007755
Name:ABUSE & TRAUMA TREATMENT CENTER FOR WOMEN
Entity Type:Organization
Organization Name:ABUSE & TRAUMA TREATMENT CENTER FOR WOMEN
Other - Org Name:PSYCHOLOGICAL HEALING CENTERS
Other - Org Type:Other Name
Authorized Official - Title/Position:LICENSED CLINICAL PSYCHOLOGIST/OWNE
Authorized Official - Prefix:DR
Authorized Official - First Name:MARSHA
Authorized Official - Middle Name:EF
Authorized Official - Last Name:HEIDEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:216-780-5068
Mailing Address - Street 1:8322 STATE ROUTE 305
Mailing Address - Street 2:
Mailing Address - City:GARRETTSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44231-9734
Mailing Address - Country:US
Mailing Address - Phone:216-780-5068
Mailing Address - Fax:
Practice Address - Street 1:8322 STATE ROUTE 305
Practice Address - Street 2:
Practice Address - City:GARRETTSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44231-9734
Practice Address - Country:US
Practice Address - Phone:216-780-5068
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-08
Last Update Date:2014-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center