| NPI | 1629248893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY MARRA Director 440-804-6627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I0600139) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 251S00000X Community/Behavioral Health (Licence: OH I0600139) | |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2008-03-04 |