| NPI | 1104084425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA R COLES Counselor 216-830-0977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E-0877) |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2008-05-23 |