| NPI | 1730127176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JONES Vice President Of Administration 330-535-8116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2019-06-11 |