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Organization

PORTAGE PATH BEHAVIORAL HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JERRY T KRAKER (PRESIDENT)
(330) 253-3100
Entity
Organization

Contact information

Practice address
10 PENFIELD AVE, AKRON, OH 44310-2912
(330) 762-6110
(330) 253-5248
Mailing address
340 S BROADWAY ST, AKRON, OH 44308-1529
(330) 253-3100
(330) 253-5248

Taxonomy

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

Other

Enumeration date
05/09/2006
Last updated
08/22/2020
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