| NPI | 1134452576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD L HEINBAUGH Executive Director 330-792-1918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH 295) |
| Additional Taxonomies | 251B00000X Case Management (Licence: OH 295) |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2009-09-17 |