| NPI | 1528102654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS M CASSADY President Of The Corporation 440-992-7878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 3565) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I0002303) |
| 101YP2500X Counselor, Professional (Licence: OH E2512) | |
| 101YP2500X Counselor, Professional (Licence: OH E3468) | |
| 101YP2500X Counselor, Professional (Licence: OH E4265) | |
| 1041C0700X Social Worker, Clinical (Licence: OH I217) | |
| 1041C0700X Social Worker, Clinical (Licence: OH I9169) | |
| 208D00000X General Practice (Licence: OH 34-00-1718-M) | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2007-11-16 |