| NPI | 1114056041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE MERCIER WADE Chief Executive Officer 330-379-3467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH 6838) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: 247124) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |