| NPI | 1518661305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMIKA MOORE Clinical Director 216-714-2151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-03-28 |
| Last Update Date | 2023-03-28 |