| NPI | 1487842340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WILLIAM FAUST Psychologist 216-363-2363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 4749) |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2012-05-04 |