| NPI | 1710030028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL BALL President 440-892-7034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2021-12-08 |