| NPI | 1841336492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS HELTZEL Billing Clerk 330-856-6663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 103T00000X Psychologist | |
| 103TR0400X Psychologist, Rehabilitation | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2008-01-18 |