| NPI | 1356631246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL R CRUIKSHANKS Partner 866-936-8559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.0003431-SUPV) |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2011-04-12 |