Organization
PORTAGE COUNTY TRAUMATIC BRAIN INJURY CLUBHOUSE
Active
Other names
Portage TBI Clubhouse
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANICE LORING KREINER PH.D. (EXECUTIVE DIRECTOR)
(330) 677-4787
Entity
Organization
Contact information
Practice address
1480 S WATER ST, KENT, OH 44240-3848
(330) 677-4787
Mailing address
1480 S WATER ST, KENT, OH 44240-3848
(330) 677-4787
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
6701948
OH
Other
Enumeration date
04/10/2008
Last updated
04/10/2008
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