| NPI | 1376085944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE RENEE EDENFIELD Counselor 330-597-3335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E 0700204) |
| Enumeration Date | 2016-11-13 |
| Last Update Date | 2017-01-31 |