NPI | 1306491774 |
---|---|
Doing Business As | PEARLS OF WISDOM PSYCHIATRIC |
Entity Type | Organization |
Authorized Contact | PAMELA DENISE PARDON RN Msn 440-444-1395 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2019-08-02 |
Last Update Date | 2020-06-29 |