| NPI | 1235911611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHILOH MCCLELLAND Administrator 330-227-2291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 101YP2500X Counselor, Professional | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2023-10-19 |
| Last Update Date | 2025-09-04 |