| NPI | 1043537616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA LEE ELLIFRITT Program Director 216-524-3787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH I-0007031) |
| Enumeration Date | 2010-04-22 |
| Last Update Date | 2010-04-22 |