| NPI | 1922524685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SHAFFER Chief Executive Officer 330-565-4203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 991495) |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2017-08-15 |