| NPI | 1275683690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN BOWER Director Of Revenue Cycle 330-867-5603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 103T00000X Psychologist | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2025-06-17 |