| NPI | 1558183723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERRICK MARTIN Director Of Clinical Operations 330-510-5221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-10-29 |
| Last Update Date | 2024-11-12 |