| NPI | 1871039818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD JOSEPH HUPP Owner 440-526-0468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 103T00000X Psychologist | |
| 164W00000X Licensed Practical Nurse | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2017-01-15 |
| Last Update Date | 2017-01-15 |