| NPI | 1558079152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERMAINE ODELL WATKINS Owner 216-502-8595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251B00000X Case Management | |
| Enumeration Date | 2022-11-11 |
| Last Update Date | 2023-08-16 |