| NPI | 1861906216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN L MIRANDA Supervisor 330-639-9444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH e.1200639) |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2017-11-21 |