| NPI | 1124030713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL LYNN BANKS Clinical Social Worker 216-451-1510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I5029) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2020-08-22 |