| NPI | 1083287239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA MELISSA MYTKO Licensed Clinical Counselor 216-202-5196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-07-23 |
| Last Update Date | 2021-07-23 |