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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOHN WIRTZ

Active Sole Proprietor

JOHN WIRTZ is a Behavioral Health, Residential healthcare provider located in CANTON, Ohio. NPI 1063956464 is currently active in the NPPES registry. Verify at CMS.

Behavioral Health, Residential · CANTON, OH

Registration Details

NPI Number
1063956464
Provider Type
Individual
Gender
Male
NPI Issued
Dec 5, 2016 (9.6474148360976 yrs)
Last Updated
Dec 5, 2016
Sole Proprietor
Yes

Practice Information

Address
304 15TH ST NE
CANTON, OH, 447142523
Browse OH providers · Browse ZIP 44714
Phone
3307546435
Primary Specialty
Behavioral Health, Residential
251C00000X

Other Behavioral Health, Residential Providers in CANTON, OH

Name Credential NPI
SANDRA S EVANS 1003410069
KAYLIN ELIZABETH SWARTZ 1881274223
AMANDA PATRICK 1235899519
AARON PRICE 1346952660
MARK ALLATZAS 1356199137
SHALAMAR RISBY 1144069089
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.