| NPI | 1255834412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CARR GORRELL Owner 330-447-4351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1600089-SUPV) |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2018-03-14 |