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Organization

ALLIANCE HUMAN SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ROBIN D KLACO (STATE ACCOUNTING MANAGER)
(330) 864-5895
Entity
Organization

Contact information

Practice address
791 WHITE POND DR, SUITE B, AKRON, OH 44320-4202
(330) 864-5859
(330) 864-5843
Mailing address
791 WHITE POND DR, SUITE B, AKRON, OH 44320-4202
(330) 864-5859
(330) 864-5843

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03111
ODJFS PROVIDER NUMBER
OH
01
30109
ODJFS PROVIDER NUMBER
OH
01
30110
ODJFS PROVIDER NUMBER
OH
01
30182
ODJFS PROVIDER NUMBER
OH
01
30183
ODJFS PROVIDER NUMBER
OH
Enumeration date
12/29/2006
Last updated
08/22/2020
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