| NPI | 1669877817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES TONG CFO 216-767-3408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2022-07-21 |