| NPI | 1649967746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY JOHNSON Owner 440-221-9969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-04-19 |
| Last Update Date | 2023-04-19 |