| Community Support Services, Inc. | |
|
150 Cross St Akron OH 44311-1026 | |
| (330) 996-9141 | |
| (330) 253-0377 |
| Full Name | Community Support Services, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 150 Cross St, Akron, Ohio |
| Authorized Official Name and Position | Terrence B. Dalton (CEO) |
| Authorized Official Contact | 3309969141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Support Services, Inc. 150 Cross St Akron OH 44311-1026 Ph: (330) 996-9141 | Community Support Services, Inc. 150 Cross St Akron OH 44311-1026 Ph: (330) 996-9141 |
| NPI Number | 1053309294 |
|---|---|
| Provider Enumeration Date | 10/12/2005 |
| Last Update Date | 04/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053309294 | NPI | - | NPPES |
| 2314481 | Medicaid | OH | |
| 2473934 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 9928171 (Ohio) | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 9928171 (Ohio) | Primary |
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