| NPI | 1033143722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRIE ROBINSON Credentialing Specialist 330-722-1069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X Community/Behavioral Health | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2017-05-17 |