| NPI | 1508199399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KURT WILLIAM JENSEN President 216-751-0710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 4202) |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2009-09-10 |