| NPI | 1699039487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY M. NOFFSINGER Office Mgr. 330-783-9690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH 35.049140) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2012-06-27 |