| NPI | 1851504971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VELMA ROTHEL Office Manager 330-722-4166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-08-22 |