Mary Allen

Individual provider Active NPI Community/Behavioral Health Agency · Eaton, OH

NPI 1750143624 · NPPES record last updated Jan 26, 2024

Key facts

NPI
1750143624
Entity type
Individual (NPI type 1)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Practice address
120 N Cherry St
Eaton, OH 45320-1802
Phone
(937) 336-5052
NPI assigned
Jan 26, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

120 N Cherry St
Eaton, OH 45320-1802

Mailing address

120 N Cherry St
Eaton, OH 45320-1802

Other providers in Eaton, OH

All providers in Eaton, OH · Community/Behavioral Health Agency in Ohio

Sources for this page

Verify at the official NPI Registry.