Stark County Urban Minority Alcohol and Drug Addiction Outreach Proje

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

STARK COUNTY URBAN MINORITY ALCOHOL AND DRUG ADDICTION OUTREACH PROJE

Practice address

1492 Cherry Ave SE
Canton, OH 44707-3474

Phone

(330) 949-1927

NPI assigned

Jun 15, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ida Freeman

Title

Ceo/Founder

Phone

(330) 949-1927

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1487339743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1492 CHERRY AVE SE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447073474",
            "telephone_number": "330-949-1927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1492 CHERRY AVE SE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447073474",
            "telephone_number": "330-949-1927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARK COUNTY URBAN MINORITY ALCOHOL AND DRUG ADDICTION OUTREACH PROJE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "IDA",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "330-949-1927"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stark County Medical Group, Inc.
• Stark County Pathologists Inc
• Stark County Physicians LLC
• Stark County Tasc
• Stark County Tasc, Inc.
• Stark County Women'S Clinic Inc
• Stark Family Health Center
• Stark Family Health Center
• Stark High School
• Stark Pediatrics Inc

• Community/Behavioral Health Agency in Canton, OH
• Providers in Canton, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.