Portage County Traumatic Brain Injury Clubhouse

NPI #1538332481 in Kent, Ohio

Provider Information

NPI Number
1538332481
Entity Type
Organization
Organization Name
Portage County Traumatic Brain Injury Clubhouse
Primary Specialty
Day Training, Developmentally Disabled Services
Enumeration Date
Apr 10, 2008
Last Updated
Apr 10, 2008

Practice Location

Address
1480 S WATER ST
City
Kent
State
Ohio
ZIP Code
44240-3848
Phone
(330) 677-4787

Authorized Official

Name
DR. JANICE LORING KREINER, PH.D.
Title
EXECUTIVE DIRECTOR
Phone
(330) 677-4787

Specialties & Taxonomy Codes

Specialty
Day Training, Developmentally Disabled Services

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