| NPI | 1093585366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAKANYA LATASHA SARVERA SMITH Executive Director 216-799-9944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 171W00000X Contractor |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2024-01-08 |