NPI | 1255930467 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA BECKA Owner/Employee 440-622-7444 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health |
Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
Enumeration Date | 2020-10-19 |
Last Update Date | 2025-07-31 |