| NPI | 1427208628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK J FETTERS Doctor 216-437-0047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2008-09-24 |