| NPI | 1518790211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM SINGLETON Cadc 330-904-1574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-08-20 |
| Last Update Date | 2024-08-20 |