| NPI | 1649797515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL N WAGGONER Owner 216-543-5232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2024-01-23 |