| NPI | 1457579005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLENE A NEUDENBACH Office Manager 216-651-0234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OH 47942) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH E0003190) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 975961) | |
| 101YM0800X Counselor, Mental Health (Licence: OH I0009423) | |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2025-09-11 |