| NPI | 1992232714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT DOUGLAS WALKER Owner 216-337-6859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 913018) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |