| NPI | 1760634810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNARD S JESIOLOWSKI Executive Director 330-452-9812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH I0800333) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 061039) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-10-21 |