| NPI | 1043974728 |
|---|---|
| Doing Business As | SOUTHEASTERN PSYCHOLOGY GROUP |
| Entity Type | Organization |
| Authorized Contact | JOSEPH FOUCHE Owner 216-832-8294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-10-28 |
| Last Update Date | 2022-06-29 |