| NPI | 1164471082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN R BOWEN Operations Officer 330-264-9597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OH 1537) |
| Additional Taxonomies | 251B00000X Case Management (Licence: OH 1537) |
| 251V00000X Voluntary or Charitable (Licence: OH 1537) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: OH 1537) | |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2014-11-17 |