| NPI | 1043654924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOREY BEEGUN Clinical Director 216-378-7909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OH 6500) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OH 6500) |
| 103TF0000X Psychologist, Family (Licence: OH 6500) | |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2013-04-23 |