| NPI | 1770393175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK FRISONE Executive Director 330-677-4124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2025-01-09 |
| Last Update Date | 2025-01-09 |