| NPI | 1508630047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE STATES Director Of Operations/ Compliance 330-564-8681 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2023-11-14 |
| Last Update Date | 2023-11-14 |