Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARISSE LILLIAN ALI
Active Sole ProprietorCHARISSE LILLIAN ALI is a Emotionally Disturbed Children Residential Treatment healthcare provider located in ASHTABULA, Ohio. NPI 1396331005 is currently active in the NPPES registry. Verify at CMS.
Emotionally Disturbed Children Residential Treatment · ASHTABULA, OH
Registration Details
- NPI Number
- 1396331005
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 16, 2020 (5.7062630068173 yrs)
- Last Updated
- Dec 16, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
1440 W PROSPECT RDASHTABULA, OH, 440046668Browse OH providers · Browse ZIP 44004
- Phone
- 4403192078
- Fax
- 4409985820
- Primary Specialty
-
Emotionally Disturbed Children Residential Treatment
320900000X
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.