| NPI | 1750017893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURI C PIERCE CEO 330-442-2664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-07-30 |
| Last Update Date | 2023-02-13 |