| NPI | 1336748540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE EDWARDS Licensed Mental Health Counselor 330-705-3379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2020-10-19 |