| 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 |