| NPI | 1760227078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTINA E JONES Mental Health Therapist 330-459-1506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2024-06-27 |
| Last Update Date | 2024-06-27 |