| NPI | 1558801225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD DWINNELLS CEO 330-747-9551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor Mental Health | |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) | |
| 1041C0700X Social Worker Clinical | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2017-12-14 |