| NPI | 1255738456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN GLENNY President/CEO 330-376-9494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH 13654) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: OH 01-0198) |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2014-12-09 |