| NPI | 1871553123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH LLOYD President 330-394-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251B00000X Case Management |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2008-06-12 |