| NPI | 1073753257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH J GAVIN CEO 330-343-6631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH c0007674) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH e0001959supv) |
| 103T00000X Psychologist (Licence: OH 1957) | |
| 104100000X Social Worker (Licence: OH s0017766) | |
| Enumeration Date | 2009-02-27 |
| Last Update Date | 2009-02-27 |