NPI | 1114492147 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA BAHRY Director Of Accounting 330-253-3100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2018-10-05 |
Last Update Date | 2018-10-05 |