| NPI | 1134605983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE RENE SANBORN Owner 216-551-7595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH 1302314-supv) |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2018-07-16 |