| NPI | 1700026705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH BACH-VAN VALKENBURGH Owner 440-248-0136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I-0007862) |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2009-03-03 |