Individual provider · Type 1 NPI

Vincent Edward Watts

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Canton, OH

NPI number 1619652468 Active

Practice location

148 Linwood Ave NW
Canton, OH 44708-5621

Call (330) 880-9167 Map

Specialties and licenses

TaxonomyCodeLicense
Non-emergency Medical Transport (VAN) 343900000XNone listed
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1619652468

Vincent Edward Watts's National Provider Identifier is 1619652468, issued on Jun 20, 2023. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Canton, OH. The record was last updated on Jun 20, 2023.