| NPI | 1104989201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH L. ROSENTHAL Executive Director 330-867-3388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E0001812) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OH 3399) |
| 1041C0700X Social Worker, Clinical (Licence: OH I0004680) | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |