| NPI | 1033922885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OZZY CHANEY Owner 330-663-9162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| Enumeration Date | 2025-01-27 |
| Last Update Date | 2025-01-27 |