Healthcare Provider Details

I. General information

NPI: 1740091131
Provider Name (Legal Business Name): THE STRAIGHT PATH CHILD & FAMILY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2025
Last Update Date: 05/10/2025
Certification Date: 05/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 MARKET AVE N STE 340
CANTON OH
44702-2317
US

IV. Provider business mailing address

800 MARKET AVE N STE 450
CANTON OH
44702-2312
US

V. Phone/Fax

Practice location:
  • Phone: 330-353-7224
  • Fax:
Mailing address:
  • Phone: 330-353-7224
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: MR. EDWIN C CLEVELAND
Title or Position: CEO
Credential:
Phone: 330-353-7224