| NPI | 1235676883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY SLATTERY Counselor 440-543-7122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH I.0007103.SUPV) |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2017-01-20 |