| NPI | 1215099866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI LYNNE PELLETIER Chemical Dependency Counselor 330-298-9391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S0031295) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |