| NPI | 1346016607 |
|---|---|
| Doing Business As | JAY CONVER CLINIC |
| Entity Type | Organization |
| Authorized Contact | JAYDA R CLAY CEO 330-245-8678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-11-28 |
| Last Update Date | 2023-11-28 |