| NPI | 1841506763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE JACKOSKY Owner 440-250-2130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OH 35075326) |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2010-08-30 |