| NPI | 1295276806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY BERNSTEIN Administrative Director 330-493-0083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH S.1440216) |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2017-03-15 |