| NPI | 1245684232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY MASON WILKES President And COO 216-765-0440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35-049560) |
| Enumeration Date | 2016-04-16 |
| Last Update Date | 2016-05-03 |