Organization
CATERPILLAR BEHAVIORAL HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYSEY CARPENTER (OWNER)
(330) 834-5824
Entity
Organization
Contact information
Practice address
318 BROAD AVE NW, CANTON, OH 44708-4512
(330) 834-5824
Mailing address
318 BROAD AVE NW, CANTON, OH 44708-4512
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0
—
OH
Enumeration date
11/14/2022
Last updated
11/14/2022
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