| NPI | 1427401280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET THOMPSON Billing Manager 330-725-9195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2023-11-09 |