| NPI | 1124915392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARMAINE HEARD Owner 216-849-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-06-20 |
| Last Update Date | 2025-06-20 |