NPI | 1396405700 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS S. NEWMAN Owner 330-858-0443 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-12-27 |
Last Update Date | 2021-12-27 |