| NPI | 1588694590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN R. HEWITT President 330-345-7949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2021-06-17 |