NPI | 1982203246 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY A FULLER CEO 440-823-6010 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103TC0700X Psychologist, Clinical | |
Enumeration Date | 2020-10-19 |
Last Update Date | 2023-09-06 |