| NPI | 1548715949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRESTON BENJAMIN FLINN Counselor 330-289-7173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH 081023) |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2016-08-16 |