| NPI | 1063249399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON JOHNSON Clinical Mental Health Counselor 440-409-9977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2024-09-19 |