| NPI | 1851642151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON ORTIZ Owner 330-631-3554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E1000016) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: OH 1100002) |
| 106H00000X Marriage & Family Therapist (Licence: OH M0700002) | |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2012-09-26 |