| NPI | 1487636965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID L HAUSMAN Treasurer 440-992-1144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP1600X Counselor, Pastoral | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2007-08-21 |