OrganizationActive
Coup De Main
NPI 1174451058 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Canton, OH
Provider details
- NPI number
- 1174451058
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Wanda Mccollum-Dotson, Director of Operation(330) 224-7560
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
- Non-emergency Medical Transport (VAN)343900000X
Transportation Services
- Respite Care385H00000X
Respite Care Facility
Respite Care Facility
Practice location
1624 Plain Ave Ne
Canton, OH 44714-2346
Phone: (330) 224-7560
Approximate (ZIP-level) locationGet directions
Mailing address
1624 Plain Ave Ne
Canton, OH 44714-2346
Registry dates
- Enumerated
- 2026-05-12
- Last updated
- 2026-05-12
- Certified
- 2026-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.