| NPI | 1497238380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER KNOBLOCH Owner 330-542-8555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.0800239) |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2018-09-07 |