Provider Demographics
NPI:1902187263
Name:OHIO BEHAVIORAL HEALTH CARE
Entity Type:Organization
Organization Name:OHIO BEHAVIORAL HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:AGNEW
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:419-236-9905
Mailing Address - Street 1:222 S WEST ST
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45801-4842
Mailing Address - Country:US
Mailing Address - Phone:419-222-7180
Mailing Address - Fax:419-228-8439
Practice Address - Street 1:222 S WEST ST
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45801-4842
Practice Address - Country:US
Practice Address - Phone:419-222-7180
Practice Address - Fax:419-228-8439
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-31
Last Update Date:2017-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health