The Center for Independencellc Behavioral Health and Sport Performance

NPI #1679545479 in Broadview Heights, Ohio

Provider Information

NPI Number: 1679545479
Entity Type: Organization
Organization Name: The Center for Independencellc Behavioral Health and Sport Performance
Primary Specialty: Counselor
Enumeration Date: Feb 6, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1600 E ROYALTON RD
City: Broadview Heights
State: Ohio
ZIP Code: 44147-2549
Phone: (216) 402-8200

Authorized Official

Name: DR. NANCY LYNN MUSARRA, LPCC PHD
Title: OWNER
Phone: (216) 402-8200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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