Healthcare Provider Details

I. General information

NPI: 1821127952
Provider Name (Legal Business Name): CHILD GUIDANCE & FAMILY SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2007
Last Update Date: 08/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

87 N CANTON RD
AKRON OH
44305
US

IV. Provider business mailing address

87 N CANTON RD
AKRON OH
44305-3838
US

V. Phone/Fax

Practice location:
  • Phone: 330-794-4254
  • Fax: 330-794-4262
Mailing address:
  • Phone: 330-794-4254
  • Fax: 330-794-4262

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number0137
License Number StateOH

VIII. Authorized Official

Name: TERRY NEAVILLE
Title or Position: CONTROLLER
Credential:
Phone: 330-794-4254