Organization
PORTAGE COUNTY CHILDREN'S SERVICES CENTER
Active
Other names
Children's Advantage
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY BALDWIN (BILLING SPECIALIST)
(330) 296-5552
Entity
Organization
Contact information
Practice address
771 N FREEDOM ST, RAVENNA, OH 44266
(330) 296-5552
(330) 296-6126
Mailing address
771 N FREEDOM ST, RAVENNA, OH 44266
(330) 296-5552
(330) 296-6126
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0390404
—
OH
Enumeration date
01/10/2020
Last updated
06/30/2023
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