| NPI | 1801309141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAINA A DUFFY Licensed Professional Clinical Coun 440-732-5252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1700389) |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2019-06-25 |