| NPI | 1477096154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE L HAIRSTON Owner 330-242-4558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.0900211) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.1000198) |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2016-11-29 |