| NPI | 1922382571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDA RIEDEL Office Manager 330-929-9794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH c-0002928) |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2011-09-30 |