| NPI | 1144506783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL ZUPON Executive Director 440-247-8585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 3298) |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2011-10-27 |