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Organization

THERAPEUTIC STRENGTH-BASED SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KAREN SUE KOCIS M.A. (PROGRAM DIRECTOR/CO-OWNER)
(216) 260-1405
Entity
Organization

Contact information

Practice address
333 N MIDDLE ST, COLUMBIANA, OH 44408-1001
(330) 728-3410
(330) 632-8823
Mailing address
2359 KNOLLWOOD AVE, POLAND, OH 44514-1525
(216) 260-1405

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
05/02/2023
Last updated
02/12/2024
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