| NPI | 1134587017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIANA FAUR Psychologist 440-915-6515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: OH 6890) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: OH 6890) |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2016-04-06 |