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 |