| NPI | 1598327751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVETTE GOLDURS Owner 216-526-4208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2021-11-18 |