| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2791 Mogadore Rd, Akron, Ohio |
| Authorized Official Name and Position | James Bostic (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3306708470 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2791 Mogadore Rd Akron OH 44312 Ph: (330) 670-8470 | 2791 Mogadore Rd Akron OH 44312 Ph: (330) 670-8470 |
| NPI Number | 1295882488 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 09/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295882488 | NPI | - | NPPES |
| 7714503 | Medicaid | OH |
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