| NPI | 1962278002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER MARTIN Owner/Operator, Therapist 216-906-2085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2023-11-29 |
| Last Update Date | 2024-01-09 |