Provider Demographics
NPI:1073043782
Name:COMMUNITY OF CHRIST CHURCH, INC
Entity Type:Organization
Organization Name:COMMUNITY OF CHRIST CHURCH, INC
Other - Org Name:ARC RECOVERY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:DESIREE
Authorized Official - Middle Name:A
Authorized Official - Last Name:MCKENZIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-253-8803
Mailing Address - Street 1:834 GRANT ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44311-2136
Mailing Address - Country:US
Mailing Address - Phone:330-858-7373
Mailing Address - Fax:
Practice Address - Street 1:834 GRANT ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44311-2136
Practice Address - Country:US
Practice Address - Phone:330-253-8803
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:251S00000X
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-06-14
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHORH251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH251S00000XOtherCOMMUNITY BEHAVIORAL HEALTH