Healthcare Provider Details

I. General information

NPI: 1548736143
Provider Name (Legal Business Name): URBAN OUNCE OF PREVENTION BEHAVIORAL HEALTH SERVICES, INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2018
Last Update Date: 03/17/2023
Certification Date: 02/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1735 S HAWKINS AVE
AKRON OH
44320-3902
US

IV. Provider business mailing address

1735 S HAWKINS AVENUE
AKRON OH
44320-3902
US

V. Phone/Fax

Practice location:
  • Phone: 330-867-5400
  • Fax: 330-869-8263
Mailing address:
  • Phone: 330-867-5400
  • Fax: 330-869-8263

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MRS. EVAUGHN CAGLE
Title or Position: PRESIDENT AND CEO
Credential:
Phone: 330-867-5400