| NPI | 1851999650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP PALMISON Professional Clinical Counselor 440-212-1389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2023-11-19 |