| NPI | 1689913717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLEY MICHELLE HARDY Member 330-801-4251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH C.0900521) |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2013-02-08 |