NPI | 1679334189 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICIA K SULLIVAN Owner 330-631-1319 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2024-01-22 |
Last Update Date | 2024-02-10 |