| NPI | 1144646928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J. MENKE Principal Member 216-502-2209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1200439) |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2014-03-17 |