| NPI | 1124600606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA J BROWN Owner 216-256-3344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry | |
| Enumeration Date | 2021-04-25 |
| Last Update Date | 2021-04-25 |