| NPI | 1265493928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT M PONDILLO Psychologist Owner 330-856-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH 5000) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2020-08-22 |