| NPI | 1750822482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAN ELIZABETH GRISDALE Sole Proprietor 216-289-1656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I7963) |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2017-03-14 |