| NPI | 1902046725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J. GEORGIA BACKUS Director 330-941-4669 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SP8310) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OH 294860851) |
| 225X00000X Occupational Therapist (Licence: OH OT-05585) | |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2009-03-06 |