| Child And Adolescent Behavioral Health | |
|
919 2nd St Ne Canton OH 44704-1132 | |
| (330) 454-7917 | |
| (330) 452-8860 |
| Full Name | Child And Adolescent Behavioral Health |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 919 2nd St Ne, Canton, Ohio |
| Authorized Official Name and Position | Anna M Rohr (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 3304547917 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child And Adolescent Behavioral Health 919 2nd St Ne Canton OH 44704-1132 Ph: (330) 454-7917 | Child And Adolescent Behavioral Health 919 2nd St Ne Canton OH 44704-1132 Ph: (330) 454-7917 |
| NPI Number | 1821577131 |
|---|---|
| Provider Enumeration Date | 08/08/2018 |
| Last Update Date | 08/08/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821577131 | NPI | - | NPPES |
| 2846844 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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