| NPI | 1750548053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFRED EDWARD GRZEGOREK Psychologist 330-688-6921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH 1008) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |