| NPI | 1447346564 |
|---|---|
| Doing Business As | SOURCEONE |
| Entity Type | Organization |
| Authorized Contact | SUSAN D. BUCHWALTER President/CEO 330-345-0955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2008-01-14 |