Most Relevant Information
Provider Data
| NPI Number: | 1003324690 |
| Provider Name: | JOHN PETROS COSTIANES QMHS |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/17/2018 |
| Last Updated: | 01/17/2018 |
Provider Practice Location
150 E MARKET ST
WARREN
OH
444811141
Practice Location Phone/Fax
| Phone: | 3303996451 |
| Fax: | 3303946266 |
Provider Mailing Location
150 E MARKET ST
WARREN
OH
444811141
Provider Mailing Phone/Fax
| Phone: | 3303996451 |
| Fax: | 3303946266 |