| NPI | 1093591380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA KNOWLES Executive Director 216-744-0042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-09-04 |
| Last Update Date | 2023-09-04 |