| NPI | 1003355090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD MAROON Clinical Director 330-690-2337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 34.009421) |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2023-03-06 |