| NPI | 1437649134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL P. BENOIT Owner 330-573-1509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: OH E0003945) |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2018-11-01 |