| NPI | 1336976521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEREENA CREAMER Clinical Director 330-422-9005 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2024-09-19 |