| NPI | 1679013015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA TONI MOORE CEO 216-778-9357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.1101404-SUPV) |
| Enumeration Date | 2017-03-05 |
| Last Update Date | 2017-03-07 |