| NPI | 1104944339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA S JONES Clinical Counselor 440-255-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.0007485) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |