| Organization Name: | HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABLILITES |
| NPI Number: | 1952530206 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL MANFULL (CFO) |
| Mailing Address: | 9772 Diagonal Road Mantua |
| State: | OH US |
| Postal Code: | 44255 |
| Phone Number: | 3302742272 |
| Fax Number: | 3307322467 |
| NPI Enumeration Date: | 07/08/2009 |
| NPI Last Update Date: | 09/03/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC2200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical Child & Adolescent |
| Taxonomy Definition: | |