| NPI | 1639468127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SASI KAZA Administrator 330-797-4050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH 35042814) |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2011-04-05 |