| NPI | 1710468533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW J REHS Licensed Professional Counselor 330-472-0506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 178.009793) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: IL 178.009793) |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2018-08-29 |