| NPI | 1619106150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILTON LEDFORD Owner 330-201-4074 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.0003277-SUPV) |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2016-07-11 |