PORTAGE PATH BEHAVIORAL HEALTH NPI 1114492147

NPI Information

PORTAGE PATH BEHAVIORAL HEALTH is a rehabilitation and substance use disorder clinic center in Akron, OH. PORTAGE PATH BEHAVIORAL HEALTH NPI is 1114492147. The provider is registered as an organization entity type.

The provider's business location address is:

340 S BROADWAY ST
AKRON, OH
ZIP 44308-529
Phone: (330) 253-3100
Fax: (330) 253-5248

The provider's authorized official is Jessica Bahry .
The authorized official title is Director Of Accounting and has the following contact phone number (330) 253-3100.

The CLIA number assigned to this NPI record is 36D2122513 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/5/2018 and was last updated on 10/5/2018.

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:

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