CHRISTIAN CLARK
NPI 1003307448
Community/Behavioral Health in Youngstown, OH

Q: What is Christian Clark's NPI number?

The NPI number for Christian Clark is 1003307448. It was assigned to this individual provider in the NPPES registry on May 22, 2018.

Q: What is Christian Clark's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Q: When was this NPI record last updated?

The NPPES record for Christian Clark was last updated on May 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 22, 2018

550 W CHALMERS AVE, YOUNGSTOWN, OH 44511(330) 746-7829 Get Directions Write a Review

NPPES record last updated: May 22, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Christian Clark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRISTIAN CLARK (NPI 1003307448) is an individual community/behavioral health provider in Youngstown, Ohio and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1003307448

Entity TypeIndividualMale

Primary Taxonomy251S00000X

Provider Legal NameCHRISTIAN CLARK

Location Address550 W CHALMERS AVEYoungstown, OH 44511-1576

Mailing Address527 N Meridian RdYoungstown, OH 44509-1227

Phone(330) 746-7829

Sole ProprietorYes

Enumeration DateMay 22, 2018

✔ NPI 1003307448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

550 W CHALMERS AVE, Youngstown, OH 44511

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMANTHA A CROSS CDCA

Counselor (Addiction (Substance Use Disorder))