NPI | 1659843555 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGELIA WORLEY Owner/ Provider 216-200-5433 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2018-12-18 |
Last Update Date | 2024-03-22 |