| NPI | 1063670206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM DEFELICE Mental Health Counselor Owner 440-478-2529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I1599) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 975961) |
| 101YM0800X Counselor, Mental Health (Licence: OH 0002866) | |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2008-05-23 |