| NPI | 1063470888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY YASSALL Executive Director 216-651-1450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 98-097T) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2021-09-24 |