| 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 |