| NPI | 1003504846 |
|---|---|
| Former Legal Business Name | KIMBERLEY MICHELLE HARDY |
| Entity Type | Organization |
| Authorized Contact | KIMBERLEY MICHELLE HARDY Single Member Owner 440-444-7140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2023-04-28 |
| Last Update Date | 2023-05-22 |