| NPI | 1154932473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE NASHELLE LOCKETT Clinical Therapist/Owner 440-571-5009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2022-10-27 |