| NPI | 1669017687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY MARIE GLANDER CEO 216-276-5628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| 2084P0805X | |
| 363A00000X Physician Assistant | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2019-12-20 |