| NPI | 1689443053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA KLESS Owner 216-789-3929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2023-12-27 |
| Last Update Date | 2023-12-27 |