| NPI | 1376182584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SPARKLE CAREY Management 440-452-5637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0810X Clinical Nurse Specialist, Psych/Mental Health, Child & Family |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2020-01-06 |