| NPI | 1285221879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH YENSEL Owner 330-836-8090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral |
| 103TC1900X Psychologist Counseling | |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 103TF0000X Psychologist Family | |
| 103TP0016X Psychologist Prescribing (Medical) | |
| 103TS0200X Psychologist School | |
| Enumeration Date | 2020-12-29 |
| Last Update Date | 2025-03-28 |