| NPI | 1952778243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISSA WIBLE Owner 440-574-1794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I 1440201 SUPV) |
| Enumeration Date | 2015-08-21 |
| Last Update Date | 2015-08-21 |