NPI | 1942819032 |
---|---|
Entity Type | Organization |
Authorized Contact | DAWN L PULLIN CEO 330-412-2754 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
251B00000X Case Management | |
251S00000X Community/Behavioral Health | |
Enumeration Date | 2020-07-24 |
Last Update Date | 2025-05-06 |