| NPI | 1013611490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LEE EMRICH Owner 440-915-7922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-03-29 |
| Last Update Date | 2026-04-15 |