Organization
STARK COUNTY TASC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID A WILLS LICDC (EXECUTIVE DIRECTOR)
(330) 479-1912
Entity
Organization
Contact information
Practice address
624 MARKET AVE N, CANTON, OH 44702-1017
(330) 327-4826
(330) 479-0977
Mailing address
624 MARKET AVE N, CANTON, OH 44702-1017
(330) 327-4826
(330) 479-0977
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
01-0694
OH
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0158122
—
OH
Enumeration date
11/21/2016
Last updated
01/31/2023
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