Organization
JOANNA HOUSE II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LASALLE NOREEN HARRIS CDCAIII, CPRS, S.W. (EXECUTIVE DIRECTOR)
(234) 678-9805
Entity
Organization
Contact information
Practice address
342 E SOUTH ST, AKRON, OH 44311-2165
(234) 678-9805
(330) 849-5051
Mailing address
387 WEST BARTGES ST, AKRON, OH 44307-1931
(234) 678-9805
(330) 849-5051
Taxonomy
Speciality
Code
Description
License number
State
261QR0800X
Recovery Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0262730
—
OH
Enumeration date
04/03/2018
Last updated
04/27/2022
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