NPI | 1710238613 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA GRUBBS CEO 330-493-4553 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 251B00000X Case Management |
251S00000X | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2012-10-02 |
Last Update Date | 2025-01-29 |