Provider Demographics
NPI:1609283712
Name:PROJECT SOLUTIONS OF STARK COUNTY
Entity type:Organization
Organization Name:PROJECT SOLUTIONS OF STARK COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:SINCLAIR-MCCLINTOCK
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LICDC-CS
Authorized Official - Phone:330-705-7908
Mailing Address - Street 1:PO BOX 35486
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44735-5486
Mailing Address - Country:US
Mailing Address - Phone:330-705-6989
Mailing Address - Fax:330-244-1106
Practice Address - Street 1:5553 FULTON DR NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44718-1728
Practice Address - Country:US
Practice Address - Phone:330-705-6989
Practice Address - Fax:330-244-1106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-21
Last Update Date:2014-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH13668251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health