| NPI | 1922874056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA CHRISTINE GRAY Physician Assistant 440-622-3728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2023-11-29 |
| Last Update Date | 2023-11-29 |