| NPI | 1396124814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAX DEAN BURKINS Clinical Director 330-499-3211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2015-05-29 |