NPI | 1225087802 |
---|---|
Doing Business As | PORTAGE PATH BEHAVIORAL HEALTH |
Entity Type | Organization |
Authorized Contact | TRACY YAEGER President 330-253-3100 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2006-05-09 |
Last Update Date | 2017-01-06 |