| NPI | 1043946635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SETH GARCIA Owner/Clinical Director 440-427-4571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103T00000X Psychologist | |
| Enumeration Date | 2022-07-27 |
| Last Update Date | 2022-07-27 |