| NPI | 1063125110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISHA GILMORE Psychotherapist 330-990-7730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-01-04 |
| Last Update Date | 2023-02-14 |