| NPI | 1053345975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI CLARK CEO 440-285-2170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2014-03-21 |