| NPI | 1750581179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA BORCHERT HRIVNAK Owner 330-723-7977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH E3428) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2007-07-24 |