| NPI | 1922126168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS RICHARD KUPEC Chief Excutive Manager 330-533-5450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E-0003444-SUPV) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |