| NPI | 1053391425 |
|---|---|
| Former Legal Business Name | ALCOHOL AND DRUG DEPENDENCY SERVICES OF MEDINA COUNTY, INC. |
| Entity Type | Organization |
| Authorized Contact | BRADFORD G WILLIAMS Chief Executive Officer 330-723-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH 1383,2169,0564,2168) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OH 1383,2169,0564,2168) |
| 104100000X Social Worker (Licence: OH 1383,2169,0564,2168) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 0564) | |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2012-04-24 |