| NPI | 1609511690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY M DARBY Owner 216-407-3190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker Clinical | |
| 363LF0000X Nurse Practitioner Family | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2022-05-03 |
| Last Update Date | 2022-05-03 |