| NPI | 1396466272 |
|---|---|
| Former Legal Business Name | HEALTHY HEALING LLC |
| Entity Type | Organization |
| Authorized Contact | NICOLE DENISE NICKENS CEO 216-256-4243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-09-08 |
| Last Update Date | 2022-09-08 |