| NPI | 1235628447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETHANY LATIMER Owner 330-577-2285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OH E.1800629) |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2018-06-16 |