| NPI | 1023733078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONTE M THOMAS CEO 216-256-9472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2022-10-11 |
| Last Update Date | 2022-10-11 |