NPI | 1609677236 |
---|---|
Former Legal Business Name | NINA KUCYK, PSYD |
Entity Type | Organization |
Authorized Contact | NINA MARIE KUCYK Owner 330-620-8519 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2025-03-20 |
Last Update Date | 2025-03-20 |