| NPI | 1689286809 |
|---|---|
| Doing Business As | PSYCHOTHERAPY SERVICES OF NEWLIGHT |
| Entity Type | Organization |
| Authorized Contact | JOMON THEKKETHOTTIYIL Owner 330-416-3867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2020-08-19 |