| NPI | 1114694056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE KLOEPPEL Owner / Provider 216-264-3686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2021-08-27 |
| Last Update Date | 2023-04-28 |