| NPI | 1477330165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMYLEE MYERS Owner 440-308-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 363L00000X Nurse Practitioner | |
| 103TC0700X Psychologist, Clinical | |
| 104100000X Social Worker | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| 103T00000X Psychologist | |
| Enumeration Date | 2023-09-14 |
| Last Update Date | 2023-09-14 |