| NPI | 1295882488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES BOSTIC Executive Director 330-670-8470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| 1041C0700X Social Worker Clinical | |
| 207Q00000X Family Medicine | |
| 101YP2500X Counselor Professional | |
| 235Z00000X Speech-Language Pathologist | |
| 225X00000X Occupational Therapist | |
| 225100000X Physical Therapist | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347E00000X Transportation Broker | |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2014-09-30 |