| NPI | 1821432758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT MCINTOSH Clinical Social Worker 330-554-7585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.0700119 SUPV) |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2017-04-13 |