| NPI | 1598387557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HALEIGH SCOTT Owner 330-317-9274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist Mental Retardation & Developmental Disabilities |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2020-11-10 |