| NPI | 1679053664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESMOND YANAMAYU Clinical Director 216-512-0321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-08-18 |
| Last Update Date | 2020-03-30 |