| NPI | 1427773365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMICA M SHAVERS CEO 330-472-3934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-10-04 |
| Last Update Date | 2022-10-04 |