| NPI | 1487291704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY MARIE GLANDER CEO 216-276-5628 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 363A00000X Physician Assistant | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2019-12-20 |