NPI | 1053746750 |
---|---|
Entity Type | Organization |
Authorized Contact | TERRY JOHN KELLEMAN President/Owner 440-356-2286 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 912985) |
Enumeration Date | 2013-09-12 |
Last Update Date | 2013-10-16 |