NPI | 1447979869 |
---|---|
Entity Type | Organization |
Authorized Contact | BILLIE J GILLIAM Owner 216-339-6682 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 251S00000X |
Enumeration Date | 2022-08-29 |
Last Update Date | 2022-08-29 |