| NPI | 1902297476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER ROSS LOWENSTEIN Tax Id Owner 216-464-4664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH 0003773) |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2015-02-05 |