| NPI | 1740745215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVIA A REEVES Admin 216-835-3927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 101YM0800X Counselor, Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2019-02-08 |