Portage County Children'S Services Center
Clinic/Center, Rehabilitation, Substance Use Disorder in Ravenna, OH. Organization (NPI-2).
NPI number1164062899
StatusActive
Last updated in NPPESJun 30, 2023
Details
- NPI
- 1164062899
- Entity type
- Organization (NPI-2)
- Legal business name
- Portage County Children'S Services Center
- Organization subpart
- No
- Enumeration date
- Jan 10, 2020
- Certification date
- Jun 30, 2023
- Last updated
- Jun 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – | Yes |
Other names
- Children'S Advantage (Doing Business As)
Practice location
771 N Freedom StRavenna, OH 44266
Phone 330-296-5552 · Fax 330-296-6126
Mailing address
771 N Freedom StRavenna, OH 44266
Phone 330-296-5552 · Fax 330-296-6126
Authorized official
Tiffany Baldwin
Billing Specialist
3302965552
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