| NPI | 1053659607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH C CARVER Chief Financial Officer 440-989-4981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH 2147) |
| Enumeration Date | 2013-01-16 |
| Last Update Date | 2019-06-19 |