| NPI | 1215399944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNARD DAMON TAYLOR Substance Abuse Therapist 330-745-5488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 175T00000X Peer Specialist | |
| 251B00000X Case Management | |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-03-22 |