| NPI | 1306168893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON ANN AUGUSTINE Office Manager 330-953-1964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2024-05-02 |