Provider First Line Business Practice Location Address:
329 ARLINGTON AVE NW # 44708
Provider Second Line Business Practice Location Address:
1205 32ND STREET NE (GROUP HOME) 44714
Provider Business Practice Location Address City Name:
CANTON
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44708-4703
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-575-1861
Provider Business Practice Location Address Fax Number:
330-452-1296
Provider Enumeration Date:
05/16/2007