Organization
LORCI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH WAYNE HUFFMAN LICDC (CPC)
(330) 701-4114
Entity
Organization
Contact information
Practice address
3148 GRILL RD, NEW FRANKLIN, OH 44216-9381
(330) 701-4114
Mailing address
3148 GRILL RD, NEW FRANKLIN, OH 44216-9381
(330) 701-4114
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
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