ROYAL MARTIN

CANTON, OH
NPI1588050553
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  140719-PRE)
Enumeration Date2015-04-07
Last Update Date2015-04-07
Business Address
-- ROYAL MARTIN
1341 MARKET AVE N
CANTON, OH 44714-2605
Phone number: 330-453-8252
Mailing Address
-- ROYAL MARTIN
1341 MARKET AVE N
CANTON, OH 44714-2605
Phone number: 330-453-8252