| NPI | 1952794604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORALEA ALLEN Mental Health Counselor 330-256-0337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E1000353) |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2015-03-05 |