Provider Demographics
NPI:1841340056
Name:YOUNGSTOWN AREA JEWISH FEDERATION
Entity type:Organization
Organization Name:YOUNGSTOWN AREA JEWISH FEDERATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:WEISBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:330-746-7929
Mailing Address - Street 1:517 GYPSY LN
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44504-1314
Mailing Address - Country:US
Mailing Address - Phone:330-746-7929
Mailing Address - Fax:330-746-7939
Practice Address - Street 1:517 GYPSY LN
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44504-1314
Practice Address - Country:US
Practice Address - Phone:330-746-7929
Practice Address - Fax:330-746-7939
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:YOUNGSTOWN AREA JEWISH FEDERATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-11
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHYO9272581Medicare ID - Type Unspecified