Organization
CHILD AND ADOLESCENT BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS WARSINKSY LSW (DIRECTOR OF OUTPATIENT SERVICES)
(330) 433-6075
Entity
Organization
Contact information
Practice address
4641 FULTON DR NW, CANTON, OH 44718-2384
(330) 433-6075
Mailing address
4641 FULTON DR NW, CANTON, OH 44718-2384
(330) 433-6075
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0290822
—
OH
Enumeration date
05/12/2009
Last updated
05/12/2009
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