| NPI | 1083934806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA SULLIVAN Office Manager 440-989-2819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH s.0011636) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2010-06-03 |