| NPI | 1942696083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISSA LEE FERRER Member 216-533-4966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH IO80073) |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2015-12-10 |