| NPI | 1063147361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J BISCARO Vice President, Behavioral Health 216-363-7010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2022-07-20 |
| Last Update Date | 2023-02-16 |