| NPI | 1922105147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY NEAVILLE Contoller 330-794-4254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: OH 0137) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2018-07-09 |