| NPI | 1730374984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAN E NELSON Owner 216-338-4278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35061313) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2008-05-30 |