| NPI | 1871082115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL OLIVIA PIXLEY Co Owner/ Business Director 330-469-5702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251B00000X Case Management | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2018-09-21 |