Organization
STARK YOUTH TECHNOLOGY CENTER CO.
Active
Other names
Stark Youth Technology and Childcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL C SMITH (OWNER/OPERATOR)
(330) 284-5702
Entity
Organization
Contact information
Practice address
101 CENTRAL PLAZA SOUTH, SUITE 200, CANTON, OH 44702
(330) 284-5702
Mailing address
101 CENTRAL PLAZA SOUTH, SUITE 200, CANTON, OH 44702
(330) 284-5702
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8716166917
—
OH
Enumeration date
07/22/2021
Last updated
01/28/2025
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