| NPI | 1609034974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH H BING Clinical Director 330-808-3072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 5773) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OH 5773) | |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2009-08-18 |