| Massillon Office | |
|
1341 Market Ave N Canton OH 44714-2605 | |
| (330) 453-8252 | |
| (330) 453-6716 |
| Full Name | Massillon Office |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1341 Market Ave N, Canton, Ohio |
| Authorized Official Name and Position | Keith Hochadel (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3304538252 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Massillon Office 46 Federal Ave Nw Suite 1 Massillon OH 44647-5401 Ph: (330) 833-0234 | Massillon Office 1341 Market Ave N Canton OH 44714-2605 Ph: (330) 453-8252 |
| NPI Number | 1316996507 |
|---|---|
| Provider Enumeration Date | 05/08/2006 |
| Last Update Date | 01/31/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316996507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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