NPI | 1699034629 |
---|---|
Entity Type | Organization |
Authorized Contact | LORI BERENCSI Director Of Billing 440-204-4218 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2012-05-11 |
Last Update Date | 2012-05-11 |