| NPI | 1295400042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONDIE GONZALES Owner 216-210-4041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2021-08-13 |
| Last Update Date | 2026-03-05 |