| NPI | 1396466272 |
|---|---|
| Former Legal Business Name | HEALTHY HEALING LLC |
| Entity Type | Organization |
| Authorized Contact | NICOLE DENISE NICKENS CEO 440-601-9247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-09-08 |
| Last Update Date | 2024-08-10 |