| NPI | 1457788960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORENCE V KIMBO Sole Owner 440-234-8746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35094183) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OH 35087776) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OH 35085738) | |
| 1041C0700X Social Worker, Clinical (Licence: OH 1000379) | |
| 164W00000X Licensed Practical Nurse (Licence: OH COA12811) | |
| Enumeration Date | 2013-09-28 |
| Last Update Date | 2016-02-26 |