| NPI | 1619748878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA GRAY Member 440-622-3728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-01-15 |
| Last Update Date | 2024-05-03 |