| NPI | 1285207704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERITA J EILAND Owner 330-541-3207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YP2500X Counselor Professional | |
| 171400000X | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2021-08-02 |