| NPI | 1841550696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA L CHESSMAN Chief Compliance Officer 330-455-0374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0801X |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2022-08-31 |