| NPI | 1356750921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN HANVEY President/Owner 330-285-1025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5005445) |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2014-08-08 |