| NPI | 1659499465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN YONAS Office Manager 330-864-1616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I2527) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 872991) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2008-06-17 |