| 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 |