| NPI | 1609222793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH S MITCHELL Counselor 567-560-3582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH S0017427) |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2016-05-09 |