| NPI | 1841925443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH HOCHADEL Executive Director 330-205-9515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2023-02-14 |