| NPI | 1346780137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARIE GIOVANNELLI Owner 330-280-0716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E0800007SUPV) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 011296) |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2017-02-28 |