| NPI | 1457945099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIS ANN GRIFFIN Clinical Director 330-623-5387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2021-02-24 |
| Last Update Date | 2024-08-10 |