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 |