| NPI | 1689934853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE M JORDAN Owner 216-906-9333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH I9562) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E0002649) |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2012-05-22 |