NPI | 1588046312 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY ANN ANDREWS Owner 216-310-8471 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 70803) |
Additional Taxonomies | 251S00000X (Licence: TX 70803) |
Enumeration Date | 2015-06-29 |
Last Update Date | 2015-09-25 |