| 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 | |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2020-07-24 |