| NPI | 1558535658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT A HUMPHRIES Psychologist 330-244-8782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2014-07-17 |