| NPI | 1295250546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH MARIE FELLENSTEIN Owner/Clincian 440-724-5404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH E.0900653-SUPV) |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2017-08-08 |