Active NPI
Akron-Urban Minority Alcoholism Drug Abuse Outreach Program, Inc.
- Community/Behavioral Health Agency
- Akron, OH
National Provider Identifier
1114056041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 6838
- Legal business name
- AKRON-URBAN MINORITY ALCOHOLISM DRUG ABUSE OUTREACH PROGRAM, INC.
- Practice address
- 665 West Market Street
Akron, OH 44303-1438 - Phone
- (330) 379-3467
- Fax
- (330) 379-3465
- NPI assigned
- Mar 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Donald Christian
- Title
- Chief Executive Officer
- Phone
- (330) 379-3467
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 6838 | OH | Primary |
| Community/Behavioral Health Agency | 251S00000X | 247124 |
Addresses
Primary practice location
665 West Market Street
Akron, OH 44303-1438
Mailing address
665 West Market Street
Akron, OH 44303-1438
Phone (330) 379-3467
Other names 1
- Akron-Urban Minority Alcoholism Drug Abuse Outreach Program, Inc.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Akron, OH
- NPI 1780133645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723075200000",
"number": "1114056041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "665 WEST MARKET STREET",
"city": "AKRON",
"state": "OH",
"postal_code": "443031438",
"telephone_number": "330-379-3467",
"fax_number": "330-379-3465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "665 WEST MARKET STREET",
"city": "AKRON",
"state": "OH",
"postal_code": "443031438",
"telephone_number": "330-379-3467",
"fax_number": "330-379-3465"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AKRON-URBAN MINORITY ALCOHOLISM DRUG ABUSE OUTREACH PROGRAM, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-05",
"last_updated": "2024-08-08",
"certification_date": "2024-08-08",
"status": "A",
"authorized_official_last_name": "CHRISTIAN",
"authorized_official_first_name": "DONALD",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "330-379-3467",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "OH",
"license": "6838",
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": "247124",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Akron-Urban Minority Alcoholism Drug Abuse Outreach Program, Inc.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.