| NPI | 1497485122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MARIE OUTLAND Licensed Counselor Supervisor 216-407-7108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2024-03-06 |