| NPI | 1518843853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA BLACKLEY Lpcc 216-329-1052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2025-08-13 |
| Last Update Date | 2025-08-13 |