| NPI | 1942161872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUAYLA SIMMS Owner 330-518-2156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-11-20 |
| Last Update Date | 2026-07-27 |