Individual provider · Type 1 NPI
James Lee Hicks Jr., SWA
Community/Behavioral Health Agency · Canton, OH
Practice location
4826 Cranberry Ave NW
Canton, OH 44709-1317
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency Primary | 251S00000X | W1800121 (OH) |
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 1487149662
James Lee Hicks Jr., SWA's National Provider Identifier is 1487149662, issued on Jun 29, 2018. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Canton, OH. The record was last updated on Jun 29, 2018.