| NPI | 1730168311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA L CHESSMAN Chief Compliance Officer 330-455-0374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2023-03-08 |