| NPI | 1144612300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEN FILBERT Owner 330-336-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2020-06-04 |