92nd Street Psych LLC
NPI #1003614181 in Hudson, Ohio
Provider Information
- NPI Number
- 1003614181
- Entity Type
- Organization
- Organization Name
- 92nd Street Psych LLC
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Mar 5, 2025
- Last Updated
- Nov 25, 2025
Practice Location
Authorized Official
- Name
- BIANCA OLIVERA
- Title
- CREDENTIALING
- Phone
- (330) 294-4408
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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