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Organization
THE CENTER FOR INDEPENDENCELLC BEHAVIORAL HEALTH AND SPORT PERFORMANCE
Active
Organization
THE CENTER FOR INDEPENDENCELLC BEHAVIORAL HEALTH AND SPORT PERFORMANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANCY LYNN MUSARRA LPCC PHD (OWNER)
(216) 402-8200
Entity
Organization
Contact information
Practice address
1600 E ROYALTON RD, BROADVIEW HEIGHTS, OH 44147-2549
(216) 402-8200
Mailing address
8137 BISHOPS CT, BROADVIEW HTS, OH 44147
(216) 402-8200
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E0001871
OH
Other
Enumeration date
02/06/2006
Last updated
08/22/2020
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