Organization
PORTAGE PATH COMMUNITY MENTAL HEALTH CENTER
Active
Other names
Portage Path Behavioral health
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACY YAEGER PHD (PRESIDENT)
(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)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2314561
—
OH
Enumeration date
05/09/2006
Last updated
01/06/2017
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