Individual provider · Type 1 NPI

James Lee Hicks Jr., SWA

Community/Behavioral Health Agency · Canton, OH

NPI number 1487149662 Active

Practice location

4826 Cranberry Ave NW
Canton, OH 44709-1317

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XW1800121 (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.