Organization
PATHS TO INDEPENDENCE, INC.
Active
Other names
Paths to Independence - Vine
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA BARRETT (EXECUTIVE DIRECTOR)
(330) 296-2851
Entity
Organization
Contact information
Practice address
923 VINE ST, KENT, OH 44240-3800
(330) 296-2851
(330) 296-8631
Mailing address
161 E MAIN ST, RAVENNA, OH 44266-3129
(330) 296-2851
(330) 296-8631
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
24321
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24321
MR LICENSE NUMBER
OH
05
—
2439301
—
OH
Enumeration date
10/21/2008
Last updated
10/31/2008
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