Organization
STARK RECOVERY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA HART-TYNER NP-C (NURSE PRACTITIONER/OWNER)
(216) 413-0413
Entity
Organization
Contact information
Practice address
3801 WHIPPLE AVE NW STE 1, CANTON, OH 44718-4802
(216) 413-0413
(888) 509-7989
Mailing address
3801 WHIPPLE AVE NW STE 1, CANTON, OH 44718-4802
(216) 413-0413
(888) 509-7989
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
04/21/2022
Last updated
02/20/2023
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