| NPI | 1275373037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN ELIZABETH RANKIN Clinical Director/Owner 216-212-8779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2024-05-29 |
| Last Update Date | 2024-05-31 |