| NPI | 1780122168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL D HINER Owner 330-949-7043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E0900175 SUPV) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.111039) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC121025) | |
| 101YP2500X Counselor, Professional (Licence: OH E0900626SUPV) | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2023-07-06 |