| NPI | 1114976701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL E. WADE Director Of Operations 330-535-8181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 0529) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2007-11-16 |