| NPI | 1730015454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI STARKS Owner 216-440-7680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2026-06-22 |
| Last Update Date | 2026-06-22 |