NPI | 1821127952 |
---|---|
Entity Type | Organization |
Authorized Contact | TERRY NEAVILLE Controller 330-794-4254 |
Organization Subpart ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: OH 0137) |
Enumeration Date | 2007-03-05 |
Last Update Date | 2018-08-13 |