| NPI | 1982392163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOFEE L MOSTELLA CEO 330-861-2340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| 103K00000X Behavior Analyst | |
| 104100000X Social Worker | |
| Enumeration Date | 2023-04-26 |
| Last Update Date | 2023-04-30 |