| NPI | 1477082857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA JOYCE RIDLEY Ower/Clinical Social Worker 440-241-6054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OH I1000364) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2022-08-19 |