Individual provider · Type 1 NPI
Tracy Keding
Mental Illness Community Based Residential Treatment Facility · Mansfield, OH
NPI number
1023555729
Active
Practice location
1451 Lucas Rd
Mansfield, OH 44903-8682
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | 320800000X (OH) |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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About NPI 1023555729
Tracy Keding's National Provider Identifier is 1023555729, issued on Jan 20, 2017. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Mansfield, OH. The record was last updated on Jan 20, 2017.