NPI | 1639793938 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS IVANY Owner 330-270-3660 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2020-06-02 |
Last Update Date | 2020-06-02 |