| NPI | 1770100158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIAS COURY CEO 440-821-5820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2020-09-24 |