| NPI | 1477575348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN ALBERT LEE CEO 440-953-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OH 0467) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| 293D00000X Physiological Laboratory | |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2016-09-14 |