| 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 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2017-01-06 |