| NPI | 1033772421 |
|---|---|
| Doing Business As | TIFFANY MANRODT |
| Entity Type | Organization |
| Authorized Contact | TIFFANY MANRODT Clinical Director, Lisw 440-226-6531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2019-04-21 |
| Last Update Date | 2022-05-04 |