NPI | 1750990438 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHANNA S. WILSON CEO 330-328-3291 |
Organization Subpart ? | No |
Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2020-07-28 |
Last Update Date | 2025-09-15 |