| NPI | 1316765126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN MORIARTY Owner 216-409-6814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-09-30 |
| Last Update Date | 2024-09-30 |