| NPI | 1235742685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAITH PALMER Owner 330-980-2353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-08-26 |