| NPI | 1629034830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY K TRUBISKY Chief Executive Officer 330-454-7066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OH 524) |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| 261Q00000X Clinic/Center (Licence: OH 524) | |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: OH 524) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: OH 524) | |
| 261Q00000X Clinic/Center (Licence: OH 10023) | |
| 3336C0002X Pharmacy, Clinic Pharmacy (Licence: OH 021542450) | |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2012-03-06 |