| NPI | 1285904995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN JOSEPH BERTSCHLER Psychologist 216-236-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2012-04-18 |