| NPI | 1295310670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL EDWARD KISNER Licensed Professional Counselor 216-262-9561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2021-03-16 |
| Last Update Date | 2021-03-16 |