| NPI | 1902774227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEGRA SPENCER Licensed Clinical Social Worker 216-609-6096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-10-28 |
| Last Update Date | 2025-10-28 |