| NPI | 1699190306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN ANN LUNA JONES Psychologist 440-708-0188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: OH 6182) |
| Additional Taxonomies | 251S00000X (Licence: OH 6184) |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2014-10-01 |