| NPI | 1124716022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARITTA MARIE LATHAM President 216-496-0814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251B00000X Case Management |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2023-04-27 |
| Last Update Date | 2024-04-01 |