| NPI | 1962423947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM PRICE Owner 330-928-9527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH I-0004682) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-08-22 |