| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 834 Grant St, Akron, Ohio |
| Authorized Official Name and Position | Desiree A Mckenzie (CFO) |
| Authorized Official Contact | 3302538803 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
834 Grant St Akron OH 44311-2136 Ph: (330) 858-7373 | 834 Grant St Akron OH 44311-2136 Ph: (330) 253-8803 |
| NPI Number | 1073043782 |
|---|---|
| Provider Enumeration Date | 06/14/2017 |
| Last Update Date | 09/21/2023 |
| Certification Date | 09/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073043782 | NPI | - | NPPES |
| 251S00000X | Other | OH | COMMUNITY BEHAVIORAL HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | ORH (Ohio) | Primary |
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