| NPI | 1679085112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH PEARSON Clinical Psychologist/Director 216-798-2837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MI 6301016458) |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2017-10-24 |