Organization
PORTAGE PATH BEHAVIORAL HEALTH
Active
Parent organization
PORTAGE PATH BEHAVIORAL HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
PORTAGE PATH BEHAVIORAL HEALTH
Authorized official
JESSICA BAHRY (DIRECTOR OF ACCOUNTING)
(330) 253-3100
Entity
Organization
Contact information
Practice address
340 S BROADWAY ST, AKRON, OH 44308-1529
(330) 253-3100
(330) 253-5248
Mailing address
340 S BROADWAY ST, AKRON, OH 44308-1529
(330) 253-3100
(330) 253-5248
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
10/05/2018
Last updated
10/05/2018
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