| NPI | 1245614965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET FETZER Owner 440-742-4656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E1200186) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E0900249) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2020-09-08 |