| NPI | 1447557954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA M. NILSSON Clinical Psychologist 216-789-3878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: OH 6455) |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2022-01-20 |