| NPI | 1104961747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN D KLACO State Accounting Manager 330-864-5895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH 0528) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2024-11-04 |