| NPI | 1700279700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE J. MAYTAS Professional Clinical Counselor 330-205-3457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C 0600184) |
| Enumeration Date | 2015-03-15 |
| Last Update Date | 2015-03-15 |