| NPI | 1144396011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY J DUFF-BOEHM Clinical Director 440-777-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 3637) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: OH 3637) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OH 3637) | |
| 1041C0700X Social Worker, Clinical (Licence: OH 17264) | |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2014-10-22 |