| NPI | 1801321880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYCE CISINE Clinical Psychologist / Manager 330-729-5358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 6848) |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2024-05-08 |