| NPI | 1821954652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA MARIE MAZZONE Authorized Official Of The LLC 216-712-5029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-12-23 |
| Last Update Date | 2025-12-23 |