| NPI | 1821675075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONARD IDADA Owner/Member 216-566-4018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2021-03-25 |