| NPI | 1447245485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORA K JONES Office Manager 330-345-3461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: OH 5038) |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2008-10-24 |