NPI | 1083888796 |
---|---|
Entity Type | Organization |
Authorized Contact | RHONDA S REEDER Office Mgr 330-385-1000 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: OH 1730) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH 1730) |
103TP0016X Psychologist, Prescribing (Medical) | |
104100000X Social Worker (Licence: OH C0004537) | |
106H00000X Marriage & Family Therapist | |
163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH RX04144) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH RX04144) | |
Enumeration Date | 2008-04-15 |
Last Update Date | 2008-04-15 |