| NPI | 1477508406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH J BOROSKI Executive Director 330-343-6631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH 0242) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2021-09-01 |