| NPI | 1043011505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORNICE IVANNA FRIDAY Owner/CEO 330-348-4524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-03-21 |
| Last Update Date | 2025-03-21 |