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Contact Information

STARK YOUTH TECHNOLOGY CENTER CO.
101 CENTRAL PLAZA SOUTH
SUITE 200
CANTON, OH44702
 Phone: 330-284-5702
 Fax:
 Website:
Indicates primary specialty

NPI Profile & details for STARK YOUTH TECHNOLOGY CENTER CO.

NPI Number 1386217743
LBN Legal business name STARK YOUTH TECHNOLOGY CENTER CO.
Authorized official CRYSTAL SMITH - (OWNER/OPERATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/22/2021
Last updated 01/28/2025 - More than a year ago
Identifiers
OH Medicaid 8716166917
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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