NPI | 1104459098 |
---|---|
Entity Type | Organization |
Authorized Contact | GARY MARK ECHT Executive Director 440-944-6565 |
Organization Subpart ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2020-02-19 |
Last Update Date | 2020-02-19 |