| NPI | 1861956799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA D RUDICK Owner 330-492-2266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2019-01-24 |