| NPI | 1568916922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD HILL Clinical Supervisor 330-379-3467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH 923314) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2016-08-15 |