| NPI | 1508498049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J OROS President 330-526-6645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) | |
| 164W00000X Licensed Practical Nurse | |
| 2083A0300X Preventive Medicine, Addiction Medicine | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| 251B00000X Case Management | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QM2500X Clinic/Center, Medical Specialty | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2020-03-09 |