| NPI | 1770416331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHALONDA DERAY HARRIS Psychiatric Nurse Practitioner 216-798-4722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-06-04 |
| Last Update Date | 2026-06-04 |