| NPI | 1518192608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS RICHARD KUPEC Director/Owner 330-533-5450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E-0003444-SUPV) |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2023-02-13 |