| NPI | 1821577131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY SHAHAN Hr Admin Asst/Credentialing 330-433-6075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2025-08-21 |