| NPI | 1003076654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGIE HOPE MARKS Office Manager 330-499-3065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E-0001806) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2008-06-16 |