| NPI | 1588526305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY J. BLEACHER Owner 330-942-0677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 251B00000X Case Management | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2025-12-01 |
| Last Update Date | 2026-05-08 |