Most Relevant Information
Provider Data
| NPI Number: | 1003462326 |
| Provider Name: | TIFFANY L CRITES AAS MHT |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/13/2019 |
| Last Updated: | 08/13/2019 |
Provider Practice Location
1100 WAYNE ST STE 3400
TROY
OH
453733048
Practice Location Phone/Fax
| Phone: | 9373353701 |
| Fax: |
Provider Mailing Location
503 GARFIELD AVE
TROY
OH
453733113
Provider Mailing Phone/Fax
| Phone: | 9376717556 |
| Fax: |