| NPI | 1043786882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIMEE THOMAS Owner 330-305-2753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2018-10-19 |
| Last Update Date | 2019-03-08 |