NPI | 1154680627 |
---|---|
Former Legal Business Name | CROSSROADS LAKE COUNTY ADOLESCENT COUNSELING SERVICE |
Entity Type | Organization |
Authorized Contact | DONNA PIUNNO Billing Director 440-255-1700 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2012-05-03 |
Last Update Date | 2021-11-11 |