| NPI | 1114712189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIEL DE'FREEZE Owner 216-256-1214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-04-10 |
| Last Update Date | 2025-04-10 |