| NPI | 1215905385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSPEH J SHOROKEY Executive Director 330-793-2487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OH 0222) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2016-04-20 |