| NPI | 1366259376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW JOHN CORBETT Sole Proprietor 216-288-3501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-12-12 |
| Last Update Date | 2024-12-12 |