| NPI | 1003047291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH T MARINICH Owner 440-918-1806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E-0003813) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 981392) |
| 104100000X Social Worker (Licence: OH S-0017842) | |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2009-08-05 |