| NPI | 1295304723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARNIE ALEXANDRA NEILL Director Of Clinical Services 330-858-1173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2021-06-19 |
| Last Update Date | 2021-06-19 |