| NPI | 1699399261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATIESA KIRKPATRICK Licensed Independent Social Worker 216-387-1326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2020-05-29 |