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Juanita Randle
Mental Illness Community Based Residential Treatment Facility in Youngstown, Ohio
NPI 1073221362

Juanita Randle is a Mental Illness Community Based Residential Treatment Facility based in Youngstown, OH. Juanita Randle practices in Youngstown, OH. The NPI Number for Juanita Randle is 1073221362 and holds a License No. (Ohio).

The current practice location address for Juanita Randle is 4401 Market St, Youngstown, OH and can be reached out via phone at 330-333-3339.

Location: 4401 Market St, Youngstown, OH, 44512-1511
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073221362
Provider Name
Juanita Randle
Credential
Provider Entity Type
Individual
Gender
Female
Address
4401 Market St, Youngstown, OH, 44512-1511
Phone Number
330-333-3339
Fax Number
Provider Enumeration Date
11/07/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4401 Market St
City
Youngstown
State
Ohio
Zip
44512-1511
Phone Number
330-333-3339
Fax Number
person
Provider Business Mailing Address Details
Address
4401 Market St
City
Youngstown
State
Ohio
Zip
44512-1511
Phone Number
330-333-3339
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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