| NPI | 1033854658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNNE DIGIANDOMENICO Owner 440-879-8517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2022-04-28 |
| Last Update Date | 2022-11-21 |