| NPI | 1093296261 |
|---|---|
| Doing Business As | LAKEWOOD WELLNESS |
| Entity Type | Organization |
| Authorized Contact | KENDRA MATHYS Owner 440-202-1708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH P.7357) |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2018-08-27 |