| NPI | 1710736129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA PHILLIPS Owner 216-240-9091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-05-16 |
| Last Update Date | 2024-06-05 |