| NPI | 1871838474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA N SZENBORN Owner 330-533-3102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.041010) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH c.1100401) |
| 1041C0700X Social Worker, Clinical (Licence: OH I.1101598) | |
| 1041C0700X Social Worker, Clinical (Licence: OH I.0008340) | |
| Enumeration Date | 2012-12-07 |
| Last Update Date | 2016-03-28 |