| NPI | 1003307810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH LENZY CEO 330-956-5936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OH 0001362) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2018-06-16 |