Organization
PATHWAY CARING FOR CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGG UMBERGER (CHIEF FINANCIAL OFFICER)
(330) 493-0083
Entity
Organization
Contact information
Practice address
4895 DRESSLER RD NW, SUITE A, CANTON, OH 44718-2543
(330) 493-0083
(330) 493-3689
Mailing address
4895 DRESSLER RD NW, SUITE A, CANTON, OH 44718-2543
(330) 493-0083
(330) 493-3689
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
0547
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12218
MEDICAID UPI
OH
01
—
215-01
JOB AND FAMILY SERVICES
OH
05
—
2864191
—
OH
01
—
547
OHIO DEPT. OF MENTAL HEALTH CERTIFICATION NUMBER
OH
Enumeration date
04/18/2012
Last updated
04/18/2012
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