| NPI | 1639879554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIEL DE'FREEZE Chief Executive Officer 216-474-0028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-03-08 |
| Last Update Date | 2025-09-30 |