| NPI | 1790229920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH A ISAAK-SHAPIRO Owner 440-903-7965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH I1101660) |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2016-12-07 |