NPI | 1902597560 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTINA LORMAN Owner 330-605-1108 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-05-16 |
Last Update Date | 2023-05-16 |