| NPI | 1801038963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCIS JOSEPH MATESE Owner 440-331-3832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 4765) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 84177) |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2014-09-17 |