| NPI | 1689285025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KUWANNA DEAVER Psychiatric Nurse Practitioner 216-972-3341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2020-08-10 |