| Domestic Violence Project, Inc | |
|
720 19th St Ne Canton OH 44714-2213 | |
| (330) 491-1351 | |
| (330) 491-9720 |
| Full Name | Domestic Violence Project, Inc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 720 19th St Ne, Canton, Ohio |
| Authorized Official Name and Position | Melissa L Pearce (EXECUTIVE DIRECTOR/CEO) |
| Authorized Official Contact | 3304452001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Domestic Violence Project, Inc Po Box 9459 Canton OH 44711-9459 Ph: (330) 445-2001 | Domestic Violence Project, Inc 720 19th St Ne Canton OH 44714-2213 Ph: (330) 491-1351 |
| NPI Number | 1376982736 |
|---|---|
| Provider Enumeration Date | 06/19/2013 |
| Last Update Date | 06/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376982736 | NPI | - | NPPES |
| 1639146095 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 0705 (Ohio) | Primary |
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