Brooks Marie Liederbach, LPN Valid NPI

Individual provider · Psychiatric Residential Treatment Facility · Mansfield, OH

NPI

1871030049

Type

Individual (Type 1)

Primary specialty

Psychiatric Residential Treatment Facility

Specialty group

Residential Treatment Facilities

Taxonomy code

323P00000X

License number

138428.MEDS-IV (OH)

Sex

Female

Sole proprietor

Yes

Enumerated

2017-01-26

Last updated

2017-01-26