| NPI | 1710228614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA COAN Owner 440-210-4763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C0501110) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 021164) |
| Enumeration Date | 2013-03-03 |
| Last Update Date | 2013-03-03 |