| NPI | 1083672372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT J MOORE CEO 216-881-0765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 020249850) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2024-10-14 |