| NPI | 1962477901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN TAD PECK Executive Director 440-967-6724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OH 0077) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| 171R00000X Interpreter | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 3747A0650X Technician, Attendant Care Provider | |
| 3747P1801X Technician, Personal Care Attendant | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2020-11-02 |