| NPI | 1801837430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN N PHILLIPS Billing Mgr 330-762-5425 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH 3005) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2026-05-10 |