| NPI | 1265612162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYNARD PACKARD CEO 330-762-4357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH 976205) |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2007-11-07 |