| NPI | 1760450563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL K ROTH Executive Director 330-298-9391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 12399) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2020-08-22 |