| NPI | 1336074376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER SCOTT SMITH Owner 440-506-7547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-06-12 |
| Last Update Date | 2026-08-14 |