| NPI | 1306396718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA LOUISE COPELAND Alcohol Drug Counselor 330-812-3890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: OH S.1500392) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2016-10-10 |