NPI | 1740837160 |
---|---|
Entity Type | Organization |
Authorized Contact | BARBARA FOSTER President/CEO 330-957-4955 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2019-08-20 |
Last Update Date | 2020-02-10 |