NPI | 1679140040 |
---|---|
Entity Type | Organization |
Authorized Contact | DESMOND EUGENE YANAMAYU Clinical Director 330-518-4863 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2021-06-05 |
Last Update Date | 2021-06-05 |