Individual provider · Type 1 NPI

Christian Clark

Community/Behavioral Health Agency · Youngstown, OH

NPI number 1003307448 Active

Practice location

550 W Chalmers Ave
Youngstown, OH 44511-1576

Mailing address

527 N Meridian Rd
Youngstown, OH 44509-1227

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1003307448

Christian Clark's National Provider Identifier is 1003307448, issued on May 22, 2018. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Youngstown, OH. The record was last updated on May 22, 2018.