| NPI | 1801101969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA L CHUKO President 6145-993-3261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.0030255-SUPV) |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2010-09-15 |