| NPI | 1043903628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAKITA BROCK-DARLING President 216-270-9101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 174200000X Meals | |
| 177F00000X Lodging | |
| 251B00000X Case Management | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2023-05-31 |
| Last Update Date | 2023-05-31 |