| NPI | 1811203888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSANNAH PERKINSON Clinician 330-666-4541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I 0000552) |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2010-08-27 |