| NPI | 1093816209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ROYER Chief Executive Officer 216-831-2255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: OH 208) |
| Additional Taxonomies | 251S00000X (Licence: OH 12773) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2024-07-09 |