| NPI | 1093099178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODY KLASE CEO 330-743-1168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2025-05-19 |