| NPI | 1972821833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA SULLIVAN Office Manager 440-989-2819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH s.0017566) |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2010-05-17 |