CHILD AND ADOLESCENT BEHAVIORAL HEALTH NPI 1821577131

NPI Information

NPI: 1821577131
Provider Name: CHILD AND ADOLESCENT BEHAVIORAL HEALTH
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
919 2ND ST NE
CANTON, OH
ZIP 44704
Phone: (330) 454-7917
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CHILD AND ADOLESCENT BEHAVIORAL HEALTH is an addiction (substance use disorder) counselor in Canton, OH. CHILD AND ADOLESCENT BEHAVIORAL HEALTH NPI is 1821577131. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

919 2ND ST NE
CANTON, OH
ZIP 44704-132
Phone: (330) 454-7917
Fax: (330) 452-8860

The provider's authorized official is Anna M Rohr .
The authorized official title is Credentialing Coordinator and has the following contact phone number (330) 454-7917.

The enumeration date for this NPI number is 8/8/2018 and was last updated on 8/8/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2846844	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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