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