| NPI | 1760922843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE RORK Clinical Psychologist 216-973-4588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OH 6641) |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2017-03-08 |