| Jubilee Center | |
|
2719 Cleveland Ave Nw Canton OH 44709-3309 | |
| (330) 453-1373 | |
| (330) 453-1383 |
| Full Name | Jubilee Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2719 Cleveland Ave Nw, Canton, Ohio |
| Authorized Official Name and Position | Josephine Ellen Glover (PROFESSIONAL CLINICAL COUNSELOR) |
| Authorized Official Contact | 3304531373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jubilee Center 2719 Cleveland Ave Nw Canton OH 44709-3309 Ph: (330) 453-1373 | Jubilee Center 2719 Cleveland Ave Nw Canton OH 44709-3309 Ph: (330) 453-1373 |
| NPI Number | 1053437384 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 04/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053437384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | E0004389 SUPV (Ohio) | Primary |
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