| NPI | 1821630781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELESTE A BOZEMAN Licensed Clinical Therapist 216-533-3019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2023-10-20 |