| NPI | 1114197340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD JACOB GATES President 440-227-3691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 34004091) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2012-02-27 |