| NPI | 1477063238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA EARLEY Owner 330-466-5640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2023-08-15 |