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Organization

TALK 10:37

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TROY PASCLEY SR. MBA (PRESIDENT /CEO)
(703) 627-2870
Entity
Organization

Contact information

Practice address
3049 BOETTLER ST NE, CANTON, OH 44721-2363
(703) 627-2870
Mailing address
3049 BOETTLER ST NE, CANTON, OH 44721-2363
(703) 627-2870

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
10/27/2022
Last updated
10/27/2022
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