| NPI | 1619590882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY R COLLINS COO 330-605-5610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2020-05-22 |
| Last Update Date | 2020-07-22 |