NPI | 1386282002 |
---|---|
Entity Type | Organization |
Authorized Contact | SVETLANA ALANA LITVAK Director 440-781-5205 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2019-12-12 |
Last Update Date | 2023-06-08 |