| NPI | 1154740173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA EVERSTIJN Owner 330-321-2991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH i-8377-S) |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2014-04-08 |