| NPI | 1093139057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY PETER LAND Sole Mbr 440-251-0237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I0001755-SUPV) |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2014-02-11 |