NPI | 1184321341 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY GRACE HALL President/Owner/Prescriber 330-355-3234 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-02-08 |
Last Update Date | 2023-09-22 |