| NPI | 1053425652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD ALLAN GEORGE Psychologist President Of Corp 330-492-9913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2020-08-22 |