| NPI | 1881044535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH A HUMPHRIES Clinic Director 330-757-3975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2016-06-14 |