| NPI | 1083972947 |
|---|---|
| Former Legal Business Name | ALCOHOL & DRUG DEPENDENCY SERVICES OF MEDINA COUNTY, INC. |
| Entity Type | Organization |
| Authorized Contact | BRADFORD GRANT WILLIAMS Chief Executive Officer 330-723-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: OH 1383,2169,0564,2168) |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2012-04-30 |