| NPI | 1083843031 |
|---|---|
| Doing Business As | CULLEN CENTER |
| Entity Type | Organization |
| Authorized Contact | LORRAINE MCCUNE Credentialing Specialist 567-585-1964 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 5415) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E0005120) |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2020-02-03 |