| NPI | 1891398541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRICA SANDERS Owner 216-577-3441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 1041C0700X Social Worker Clinical | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2023-11-07 |