NPI | 1013610948 |
---|---|
Entity Type | Organization |
Authorized Contact | EMILY ANN FRAZIER Owner 330-749-8813 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-03-22 |
Last Update Date | 2023-09-27 |