| NPI | 1871369579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY DAWN Director 216-282-4749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2023-12-04 |
| Last Update Date | 2024-02-27 |