| NPI | 1902206618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY MICHAEL MAGADA Executive Director 330-797-3995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH 12908) |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2023-02-10 |