| 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 |