| NPI | 1174401970 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | KERRIE JAMES-HUNTER Administrator 330-805-6337  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 251S00000X Community/Behavioral Health | 
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | 
| Enumeration Date | 2025-08-21 | 
| Last Update Date | 2025-08-21 |