Organization Name: | BUILDING BLOCKS COUNSELING CENTER LLC |
NPI Number: | 1053623454 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SCARLET A RUE (DIRECTOR) |
Mailing Address: | 7300 Whipple Ave Nw Suite 1 North Canton |
State: | OH US |
Postal Code: | 447207159 |
Phone Number: | 3304332390 |
Fax Number: | 3304332391 |
NPI Enumeration Date: | 07/14/2010 |
NPI Last Update Date: | 07/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | E0004334 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |