| NPI | 1760232565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH WALKER Tax Id Owner 440-539-2906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2024-06-13 |