NPI | 1023327095 |
---|---|
Entity Type | Organization |
Authorized Contact | MALLORY RAE SCHELL Outpatient Therapist 330-395-9563 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH C.0900646-TRNE) |
Enumeration Date | 2010-09-24 |
Last Update Date | 2010-09-24 |