Provider Demographics
NPI:1669799789
Name:ALL OHIO TRAINING GROUP
Entity type:Organization
Organization Name:ALL OHIO TRAINING GROUP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:ERB
Authorized Official - Suffix:
Authorized Official - Credentials:LSW, LICDC
Authorized Official - Phone:216-233-7269
Mailing Address - Street 1:12185 PARKER DR
Mailing Address - Street 2:
Mailing Address - City:CHESTERLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44026-1912
Mailing Address - Country:US
Mailing Address - Phone:216-233-7269
Mailing Address - Fax:
Practice Address - Street 1:7700 CLOCKTOWER DR
Practice Address - Street 2:
Practice Address - City:KIRTLAND
Practice Address - State:OH
Practice Address - Zip Code:44094-5198
Practice Address - Country:US
Practice Address - Phone:216-233-7269
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-29
Last Update Date:2010-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH091116101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty