| NPI | 1376590901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK PAUL FERRI Owner 419-228-4555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2008-08-01 |