| NPI | 1265866560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARROD RAPALJE Owner 216-400-8005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC LPC #6562) |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2013-08-22 |