| NPI | 1912730813 |
|---|---|
| Other Name | MARY KAY SHELTON |
| Entity Type | Organization |
| Authorized Contact | MARY KAY SHELTON Owner 440-708-8922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-08-26 |
| Last Update Date | 2024-08-26 |