| NPI | 1083004642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY LANE Head Of School/Principal 216-595-2866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2015-02-03 |