| NPI | 1306549506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUANZHEN XU Owner/Member 216-800-4725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2023-03-24 |
| Last Update Date | 2023-04-24 |