| NPI | 1710187364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK SUSIN Director 216-986-1169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I-2164) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: OH E-227) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2007-07-23 |