Organization
JAY CONVER COMPANY LLC
Active
Other names
Jay Conver Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JAYDA R CLAY (CEO)
(330) 245-8678
Entity
Organization
Contact information
Practice address
3882 MOUNT PLEASANT ST NW APT C, CANTON, OH 44720-4766
(330) 245-8678
Mailing address
3882 MOUNT PLEASANT ST NW APT C, CANTON, OH 44720-4766
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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