| NPI | 1588940035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEC MARTIN O'NEILL Owner 440-384-7526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E0600495) |
| Enumeration Date | 2011-10-28 |
| Last Update Date | 2011-10-28 |