| NPI | 1518098334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE J. GENOVA Clinic Director 330-270-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH 1730) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH 1730) |
| 103TP0016X Psychologist Prescribing (Medical) (Licence: OH RX04144) | |
| 104100000X Social Worker (Licence: OH C0004537) | |
| 106H00000X Marriage & Family Therapist (Licence: OH 1730) | |
| 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: OH RX04144) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OH RX04144) | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2015-08-12 |