| NPI | 1649432451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE HOLLY EDEN Medical Director 440-951-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2008-07-02 |