| NPI | 1154791622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY COTTON Owner 330-550-8931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0701179-SUPV) |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2015-09-28 |