| NPI | 1043618424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAUN D SKYRM Administrator 330-773-3544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11670) |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2014-12-17 |