| NPI | 1750990537 |
|---|---|
| Doing Business As | GREEN ROAD BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | THOMAS ANDREW BOYD Owner/Psychologist 216-297-2053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2020-07-28 |