| NPI | 1295244317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA D SEN Director 216-282-3838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 102L00000X Psychoanalyst |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2020-01-17 |