| NPI | 1134777360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN C BAUGHMAN Human Resource Officer 330-793-2487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2019-08-30 |