| NPI | 1134660053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLO J HARVEY Owner 330-437-6838 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH I1700023) |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2017-03-10 |