| NPI | 1104289156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI LILLER Owner 330-333-9559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1303604) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2023-08-15 |