| NPI | 1588713341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER WAGNER Executive Director 440-816-4906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2020-05-11 |