| NPI | 1023882008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY M SHAPUITE Owner 330-806-0566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2023-11-10 |
| Last Update Date | 2023-11-10 |