| NPI | 1659333045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAT HOFFMAN Billing Supervisor 330-758-4515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: VA 78014001) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| 101Y00000X Counselor | |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2010-09-08 |