| NPI | 1922353226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RASHAUD POLK CEO 330-936-8059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH 251S00000X) |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2012-07-23 |