| NPI | 1730053299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAMONTE GADDIS Founder 216-502-9620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171W00000X Contractor |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2025-09-30 |
| Last Update Date | 2025-10-02 |