| NPI | 1689009664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA J MIDDLETON Owner 216-321-1833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1000153) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDC.121124-3) |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2015-01-08 |