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 Psychiatry & Neurology, Geriatric Psychiatry | |
363A00000X Physician Assistant | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2019-11-13 |
Last Update Date | 2019-12-20 |