| NPI | 1194329607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHENEKA MCGEE FEARS Chief Medical Officer/Owner 216-273-4003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-11-24 |
| Last Update Date | 2024-02-20 |