| NPI | 1477110831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARDELLE MICHELLE MOORE Clinical Social Worker 216-849-3390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2019-05-21 |