| NPI | 1407746233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENILLE MCCRAY Member 330-573-5759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2025-07-03 |
| Last Update Date | 2025-07-03 |