| NPI | 1609197631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE KONCILJA President 216-338-9088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E1000011) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 090037) |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2020-08-26 |