| NPI | 1437666963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE TIMMONS Clinical Social Worker 216-789-4347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OH I.0800276) |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2018-01-05 |