| NPI | 1083948533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY A HANCOCK President 330-758-2775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 6098) |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2009-09-30 |