| NPI | 1659764686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ETHEL MIDDLEBROOKS Chief Executive Officer 216-299-8789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH OH1037248) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 0000000) |
| 101YP1600X Counselor Pastoral (Licence: OH 0000000) | |
| 101YS0200X Counselor School (Licence: OH 0000000) | |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: OH 0000000) | |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities (Licence: OH 000000) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: OH 000000) | |
| 103TR0400X Psychologist Rehabilitation (Licence: OH 000000) | |
| 1041C0700X Social Worker Clinical (Licence: OH 000000) | |
| 106H00000X Marriage & Family Therapist (Licence: OH 000000) | |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2015-03-16 |