| NPI | 1457740052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA BIZUP Owner/Practice Director 440-323-5121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 07116) |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2025-07-31 |