| NPI | 1467709170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY L KRESTAN Office Manager 330-282-4301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH 0501059-SUPV) |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2016-03-14 |