| NPI | 1578647574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA A. HAYNES President 330-920-8091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I1157) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |