| NPI | 1174094189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY EBERLE Organization Director 440-963-7042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2018-12-17 |