| NPI | 1396705349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRAINE KELLY Chief Executive Officer 330-759-2310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 103T00000X Psychologist | |
| 103TC0700X Psychologist Clinical | |
| 103TF0200X Psychologist Forensic | |
| 1041C0700X Social Worker Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 2084P0005X Psychiatry & Neurology Neurodevelopmental Disabilities | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2022-01-27 |