Organization
SPECTRUM DEVELOPMENTAL SERVICES, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD WETZEL (CEO)
(330) 957-9713
Entity
Organization
Contact information
Practice address
1830 PORTAGE TRL STE A, CUYAHOGA FALLS, OH 44223-1741
(330) 957-9713
Mailing address
355 KENT DR, TALLMADGE, OH 44278-1453
(330) 957-9713
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0052402
—
OH
Enumeration date
12/29/2020
Last updated
12/29/2020
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