| NPI | 1346317427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA D. KEATHLEY Hr Coordinator 330-676-6875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 0227) |
| Additional Taxonomies | 251S00000X (Licence: OH 0227) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2012-05-21 |