| NPI | 1831172576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY SHAHAN Hr Admin Assistant/Credentialing 330-433-6075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251V00000X Voluntary or Charitable | |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2025-08-21 |