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Organization

CHILD AND ADOLESCENT BEHAVIORAL HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KATHY SUZANNE MOORE B.A. (TRAINED OTHER)
(330) 454-7917
Entity
Organization

Contact information

Practice address
919 2ND ST NE, CANTON, OH 44704-1132
(330) 454-7917
Mailing address
919 2ND ST NE, CANTON, OH 44704-1132
(330) 454-7917

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Enumeration date
05/08/2009
Last updated
05/08/2009
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