| NPI | 1245581180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY ELIZABETH CUNNINGHAM Owner 440-409-5486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I 0008301) |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2012-12-14 |